Sphenoidal Meningioma with Focal Seizures Masquerading as Immune Reconstitution Inflammatory Syndrome in HIV Patient

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03 Nov 2026 0 comments

Seizures in adults with HIV can result from structural lesions, opportunistic infections, immune reconstitution inflammatory syndrome (IRIS) or medication effects, making accurate diagnosis challenging. We report a 47-year-old woman with HIV who developed recurrent focal-onset seizures evolving to bilateral tonic-clonic seizures beginning approximately 4 weeks after initiation of antiretroviral therapy (ART). Neurological examination was unremarkable. Electroencephalography revealed focal...