Author Affiliations: Department of Neurology, University of Pittsburgh, Pennsylvania (Dr Jadhav); and Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (Drs Jadhav and Greenberg).
A 67-year-old man with a history of hypertension, hyperlipidemia, and tobacco use developed sudden onset of right facial droop and slurred speech lasting several minutes. Evaluation 1 day later showed normal neurological examination, and a computed tomographic head scan without contrast demonstrated a large hypodensity in the left parietal lobe. A magnetic resonance image head scan suggested a dural-based left parietal lesion with extensive edema and mild mass effect (Figure, A and B). The patient was initially treated with corticosteroids and an antiepileptic medication.
Jadhav AP, Greenberg SA. Metastatic Renal Cell Carcinoma With Radiologic Appearance of a Meningioma. Arch Neurol. 2012;69(6):780-781. doi:10.1001/archneurol.2011.500