TY - JOUR T1 - Large intracranial meningioma masquerading as Parkinson's disease JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 1251 LP - 1251 DO - 10.1136/jnnp-2015-311531 VL - 87 IS - 11 AU - Michael Fong AU - Ali Ghahreman AU - Lynnette Masters AU - William Huynh Y1 - 2016/11/01 UR - http://jnnp.bmj.com/content/87/11/1251.abstract N2 - A previously healthy 58-year-old right-handed woman presented with a 2-month history of progressive asymmetrical extrapyramidal symptoms and signs suggestive of idiopathic Parkinson's disease. On examination, she had moderate hypomimic facies with hypophonic speech. She had a reduced right arm swing and a slow gait, although it was neither festinated nor shuffling and had a normal base. A resting pill-rolling tremor of about 3–5 Hz was evident in the distal right upper limb affecting the thumb and wrist, as well as an intermittent low-amplitude and low-frequency tremor of her jaw. There was no associated postural, kinetic or intention component to the tremor. In addition, cogwheel rigidity of the wrist, and bradykinesia of rapid finger movements were observed on the right. The resting tremor and cogwheel rigidity was accentuated … ER -