Frontal meningioma with psychiatric symptoms

Hussin, Suria; Yusoff, Siti Suhaila Mohd; Zin, Faridah Mohd; Ghani, Aminuddin Ab.

doi:10.4103/jfmpc.jfmpc_157_17

Cited by 8 publications

(7 citation statements)

References 9 publications

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“…Moreover, middle-aged women are more than twice as likely as men to develop meningiomas [3]. As shown in Case 2, detecting the treatable cause may also be delayed by menopause in female patients as depression, anxiety, cognitive changes, and headache are common symptoms [9].…”

Section: Discussionmentioning

confidence: 94%

“…Most meningiomas occur between the ages of 30 years and 70 years and rarely occur in children [3]. Frontal meningiomas commonly demonstrate psychiatric symptoms, including mood disorders, psychosis, memory issues, personality changes, anxiety, and anorexia nervosa [3,5,6]. As shown in Cases 1 and 2, being elderly or a menopausal woman can delay or prevent the search for the cause of cognitive dysfunction caused by frontal meningioma.…”

Section: Discussionmentioning

confidence: 99%

“…Brain tumors can cause dementia due to the mass effect on the adjacent brain tissue. Meningioma, a benign brain tumor, has been found to cause reversible dementia if it is located in the frontal region of the brain [1][2][3]. Meningioma diagnosis can be delayed when patients manifest only psychiatric symptoms [1,4].…”

Section: Introductionmentioning

confidence: 99%

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Neuroimaging Recommendations in Outpatients With Dementia: Three Cases of Frontal Meningioma Demonstrating Reversible Dementia

Matsuo¹,

Amano²,

Miyamatsu³

et al. 2021

Cureus

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Benign brain tumors largely affect the brain and can lead to reversible dementia, which can be resolved following the treatment of the primary etiology. Herein, we report three cases of relatively large frontal meningiomas in patients who presented with cognitive impairment as initial symptoms. The three participants demonstrated notable dementia alongside frontal meningioma. Following resection, all patients showed dramatic cognitive function improvement, and they successfully returned to society. Our cases illustrate the benefit of active surveillance with neuroimaging in selected patients, especially those who present with acute or subacute dementia.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Neuroimaging Recommendations in Outpatients With Dementia: Three Cases of Frontal Meningioma Demonstrating Reversible Dementia

Matsuo¹,

Amano²,

Miyamatsu³

et al. 2021

Cureus

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“…Numerous case reports and literature reviews have described an association between frontal meningiomas and depressive symptoms. [7][8][9][10][11][12][13][14][15][16][17][18][19] One report described a positive association between right frontal meningiomas and rates of major depressive disorder, atypical depression, and psychosis. 20 Peng et al analyzed 65 patients with meningiomas and categorized them based on location: frontal lobe vs nonfrontal lobe.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Manifestations as the Primary Presentation of Frontal Meningioma

Lally

Galarneau

2023

TOJ

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Background: Although some patients with primary brain lesions remain clinically asymptomatic, others may experience a range of symptoms, including headaches, seizures, focal neurological deficits, changes in baseline mental function, and psychiatric manifestations. Distinguishing between a primary psychiatric illness and symptoms of a primary central nervous system tumor can be especially difficult for patients with a history of mental illness. A major challenge in effectively treating patients with brain tumors is first obtaining the diagnosis. Case Report: A 61-year-old female with a medical history significant for bipolar 1 disorder with psychotic features, generalized anxiety, and previous psychiatric hospitalization presented to the emergency department with worsening depressive symptoms and without focal neurologic deficits. She was initially placed on a physician's emergency certificate for grave disability, with anticipated discharge to a local inpatient psychiatric facility once she was stabilized. A frontal brain lesion, concerning for a meningioma, was found on magnetic resonance imaging and she was instead transferred to a tertiary center for urgent neurosurgical consultation. Bifrontal craniotomy with neoplasm excision was performed. The patient's postoperative course was uneventful, and continued symptom improvement was noted at the patient's 6-and 12-week postoperative visits. Conclusion: This patient's clinical course exemplifies the clinical ambiguity associated with brain tumors, the challenge of obtaining a timely diagnosis with nonspecific symptoms, and the importance of neuroimaging for patients presenting with atypical cognitive symptoms. This case report contributes to the literature about the psychiatric manifestations of brain lesions, especially in patients with concurrent mental health disorders.

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“…São classificados segundo a OMS em graus I, II e III, sendo o grau I os benignos, o II os atípicos e o grau III, os anaplásicos e malignos 3 . A sua variante frontal, devido ao seu crescimento lento e progressivo, exerce compressão crônica sobre parênquima cerebral adjacente, dando início a sintomas psiquiátricos e comportamentais 1,5,6 . Esses pacientes são frequentemente referenciados de forma errada, primeiramente para psiquiatras, o que acaba retardando o seu diagnóstico 1,5,6 .…”

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Síndrome Psiquiátrica Causada por Meningioma Bifrontal Gigante com Piora Neurológica Súbita

Nogueira¹,

Assenço²,

Rezende³

et al. 2019

jbnc

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Os meningiomas correspondem aos tumores cerebrais primários benignos mais comuns, representando de 13% a 26 % dos tumoresintracranianos. Apresentam maior incidência no sexo feminino, sendo a exposição a radiação ionizante o principal fator de risco.São divididos em 3 grupos pela OMS, sendo o grau I o mais comum e menos agressivo. Possuem crescimento lento e são muitas vezessilenciosos, podendo cursar com alterações psiquiátricas quando localizados na fossa anterior com efeito compressivo sobre os lobosfrontais, porém esta manifestação é rara. Apresentamos o caso de uma paciente de 68 anos que apresentava sintomas psiquiátricosdesde 2012 e, após 6 anos, evoluiu com deterioração neurológica súbita, tendo o diagnóstico tardio de meningioma frontal gigante.Destacamos a importância da pesquisa de causa orgânica para manifestação psiquiátrica em determinado grupo de pessoas, nointuito de diagnóstico e tratamento precoce, melhorando sobrevida e qualidade de vida dos pacientes.

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Frontal meningioma with psychiatric symptoms

Cited by 8 publications

References 9 publications

Neuroimaging Recommendations in Outpatients With Dementia: Three Cases of Frontal Meningioma Demonstrating Reversible Dementia

Neuroimaging Recommendations in Outpatients With Dementia: Three Cases of Frontal Meningioma Demonstrating Reversible Dementia

Psychiatric Manifestations as the Primary Presentation of Frontal Meningioma

Síndrome Psiquiátrica Causada por Meningioma Bifrontal Gigante com Piora Neurológica Súbita

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