Intracranial Tumour Presenting with Varying Seizure Types

Abstract

Epileptic seizures are one of the common manifestations of brain tumors. Identifying the cause of seizures remains the main challenge in most developing countries; either due to the absence of appropriate radiological equipment like the CT scan and MRI or when available, the affordability of the cost of such investigations by the patient becomes a challenge. This makes radiological evaluation a non-routine investigation for seizure management in this part of the globe. Often times, such seizures manifest as focal seizures with secondary generalization and are often refractory to antiepileptic treatment but with remarkable response to surgical intervention, particularly in benign ones. Here, we present a 22-year-old man who presented with varying seizure types following an intracranial cyst, and poor response to antiepileptic medications. The changing presentations possibly suggest the progression or increase in the size of the cyst. An awareness of this presentation may lead to an earlier identification of the cause of such seizures.