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Large Parafalcine Chondroma Presenting with Seizure: A Case Report

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Abstract

Chondroma is a rare benign tumor of the brain and may present initially with seizure or other mass-occupying manifestations. A 26-year-old man with generalized tonic-clonic seizure was admitted to the emergency department. The duration of the seizure was 5 minutes, and the seizure ceased with intravenous diazepam and phenytoin. In magnetic resonance imaging (MRI), there was a hypo-intense mass-like parafalcine lesion in T1 and hyper-intense in T2 with lobulation and no significant brain edema. On the fourth postoperative day, there was CSF leakage from the skin. The patient underwent another operation for CSF leakage. The patient was discharged after 1 week with Glasgow Coma Scale (GCS) 15/15, and no neurological deficits. In the follow-up examinations, the seizure was eliminated. Follow-up CT scan showed significant remodeling of the brain. Concise perioperative planning and meticulous surgical approach are required for parafalcine chondroma. Long-term survival is favorable.

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Data and original images in the current study are available from the corresponding author on reasonable request. Authors can confirm that all relevant data are included in the article and/or its supplementary information files.

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Acknowledgements

The author would like to thank the patient and his family for their trust.

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Authors and Affiliations

  1. Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

    Houshang Moin, Arman Sourani, Masih Sabouri & Bahram Aminmansour

  2. Department of Physical Medicine and Rehabilitation, School of Medicine, Student Research Committee, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

    Sadegh Baradaran Mahdavi

Authors
  1. Houshang Moin
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  2. Arman Sourani
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  3. Masih Sabouri
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  4. Bahram Aminmansour
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Contributions

AS contributed to the conception of the work, data search, data gathering, patient treatment, manuscript preparation, manuscript revision, final approval of the manuscript, and agreed to be accountable for all aspects of the work.

HM contributed to the conception of the work, data search, patient treatment, manuscript preparation, manuscript revision, final approval of the manuscript and agreed to be accountable for all aspects of the work.

MS contributed to patient treatment, manuscript revision, final approval of the manuscript, and agreed to be accountable for all aspects of the work.

BA contributed to patient treatment, manuscript revision, final approval of the manuscript, and agreed to be accountable for all aspects of the work.

SBM contributed to the data search, manuscript preparation, manuscript revision, final approval of the manuscript, and agreed to be accountable for all aspects of the work.

Corresponding author

Correspondence to Arman Sourani.

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Ethics Approval

All procedures performed were under the institutional and/or national research committee's ethical standards and the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This report was supervised and approved by Isfahan University neurosurgery department board members on behalf of the Ethical Committee of Isfahan University of medical sciences.

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Informed consent was obtained from all individual participants included in the study.

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An informed written consent was obtained from the patient.

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The authors declare no competing interests.

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This article is part of the Topical Collection on Surgery

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Moin, H., Sourani, A., Sabouri, M. et al. Large Parafalcine Chondroma Presenting with Seizure: A Case Report. SN Compr. Clin. Med. 3, 1973–1977 (2021). https://doi.org/10.1007/s42399-021-00946-9

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  • DOI: https://doi.org/10.1007/s42399-021-00946-9

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