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Gustavo A. Suárez Zambrano, MD; George J. Hutton, MD

Arch Neurol. 2008;65(10):1388-1389.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 27-year-old man experienced a progressive, global, pressure headache followed by partial motor seizures. Initial neurologic evaluation results were normal. Brain magnetic resonance imaging revealed a heart-shaped enhancing lesion, which was located in the tentorium area and extended into the pineal region and superiorly along the posterior falx cerebri; it was initially interpreted as a meningioma (Figure). Because the lesion was not easily accessible and there was no mass effect on magnetic resonance imaging, we chose to treat the symptoms medically and to observe the clinical evolution before we suggested any kind of invasive diagnostic procedure or therapy. Symptoms subsided until a year later when the patient had new seizures. He underwent new brain magnetic resonance imaging, which did not show changes from the previous study. The lesion was biopsied and the pathology report confirmed the presence of a . . . [Full Text of this Article]

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