Work

The Benign Impostor: Recognizing a Multinodular and Vacuolating Neuronal Tumor to Prevent Unnecessary Intervention

Year: 2025

Type: article

Abstract: A multinodular and vacuolating neuronal tumor (MVNT) is a rare, benign lesion often linked to adult-onset seizures. We report the case of a 36-year-old woman presenting with focal and generalized seizures, preceded by visual aura. MRI revealed classical MVNT features in the left parietal lobe without mass effect, enhancement, or diffusion restriction. Follow-up at 12 months demonstrated lesion stability. Seizure control was achieved with levetiracetam. Recognizing MVNT's distinct radiological features is critical for avoiding unnecessary biopsy or surgical intervention. Conservative management with antiepileptic therapy and scheduled MRI surveillance should be followed in clinically stable cases.

Source: Cureus

DOI: 10.7759/cureus.95557

Authors: Sabrina Amaouche, Amin Da'meh, Mohammad G Deameh, Pir Abdul Ahad Aziz Qureshi, Vikram Rao Bollineni

Institutions: Universitair Ziekenhuis Brussel, Al-Balqa Applied University, University of Iceland, National University Hospital of Iceland

Language: English

Topic: Epilepsy research and treatment

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415607676