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Meningeomas: involvement of cranial nerves as the only presenting sign

A review of 41 cases of intracranial meningeomas, some with unilateral isolated lesions of cranial nerves, is presented. From these 41 cases, 25 presented neurological symptoms and 14 were asymptomatic, the diagnosis being made only by subsidiary methods. In two cases of supra-tentorial meningeomas there were only signs of involvement of cranial nerves. In one of them (case 41) six cranial nerves were affected without any other signs of lesion of the nervous system. In other case (case 32 - temporal meningeoma) involvement of the VIth and VIIIth nerves was the only presenting sign, thus suggesting a posterior fossa localization.


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