Case Report Trigeminal Meningioma in a Patient with Tardive Dyskinesia as Only Symptom Maria-Gabriela Catans , 1 Andreea-Alina Dan, 2 and Corina Roman-Filip 1,3 1 Clinical County Emergency Hospital of Sibiu, Department of Neurology, Romania 2 Clinical County Emergency Hospital of Sibiu, Department of Radiology, Romania 3 Lucian Blaga University of Sibiu, Faculty of Medicine, Romania Correspondence should be addressed to Maria-Gabriela Catan˘ a; catanamariagabriela@gmail.com Received 6 December 2018; Accepted 19 December 2018; Published 31 December 2018 Academic Editor: Norman S. Litofsky Copyright © 2018 Maria-Gabriela Catan˘ a et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Most meningiomas are benign, encapsulated tumors (95% of the cases), generally undergoing a limited number of genetic aberrations. We present the case of a 74-year-old patient with no signifcant pathological history, who is admitted to the neurology ward for orofacial dyskinesias accompanied by hypoesthesia in the lef hemiface, a symptomatology that had started insidiously about two months before and worsened progressively over the past 3 weeks. A cerebral MRI was performed which revealed a small mass with discrete T2 hyperintensity and T1 iso-signal compared to the gray matter located in the lef pontine cistern, with a large, well-defned base at the level of the cerebral tentorium. Te diagnosis of trigeminal meningioma was established and the treatment was started, afer hearing the opinion of a neurosurgeon. 1. Introduction Most meningiomas are benign, encapsulated tumors (95% of the cases), generally undergoing a limited number of genetic aberrations. Although they are the most common central nervous system tumors (20% of all central nervous system tumors), meningiomas have a rather poorly defned incidence, epidemiology, and prognosis [1]. Tumor local- ization is a critical factor in determining the prognosis, therapeutic options, and especially the degree of resectability of the tumor [2]. Despite benign tumors, meningiomas have been reported to shorten survival rates. Te treatment of choice for meningioma is surgical resection, but when the tumor is difcult to approach anatomically, a symptomatic, conservative treatment is preferred. 2. Case Presentation We present the case of a 74-year-old patient with no signif- icant pathological history, who is admitted to the neurology ward for orofacial dyskinesias accompanied by hypoesthesia in the lef hemiface, a symptomatology that had started insid- iously about two months before and worsened progressively over the past 3 weeks. Te objective general examination revealed a normal weight patient with a relatively good gen- eral condition when admitted to hospital, hemodynamically stable-blood pressure (BP) = 130/70 mmHg, AV = 72 bpm, and afebrile. Te neurological examination revealed such changes as lef hemifacial hypoaesthesia, orofacial dyskinesia, extrapyramidal syndrome, bradykinesia and bilateral hypoki- nesia without motor defcits or coordination disorders, with- out speech impediments, lef plantar extension, and right plantar fexion. All laboratory test results were physiologically within limits, which helped exclude a number of causes of dyskinesia, such as thyroid pathology. However, the vast diferential diagnosis of orofacial dyskinesia, which excluded use of neuroleptics, demonstrated that it was imperative to go to the next stage, namely, paraclinical tests. Te EEG revealed no changes, so a cerebral MRI with contrast was performed which revealed a small mass with discrete T2 hyperintensity (Figure 1) and T1 iso-signal compared to the gray matter located in the lef pontine cistern, with a large, Hindawi Case Reports in Neurological Medicine Volume 2018, Article ID 6175165, 3 pages https://doi.org/10.1155/2018/6175165