Presentation of paralytic stroke due to hemorrhagic atypical parasagittal meningioma:A case report

Acute intracranial hemorrhage stemming from meningiomas represents a rare phenomenon. We report on a case of atypical parasagittal meningioma in the left fronto-parietal lobe presenting with right lower extremity paralysis due to intra-tumoral and subdural hemorrhage.Hemorrhagic meningioma in the central gyrus region is rarely reported, the clinical and imaging presentations could closely mimic a ruptured, thrombosed vascular malformation. The vascular proliferation and tumor invasion may play a pivotal role in the spontaneous hemorrhage from meningiomas.