Management of Tiny Meningiomas: To Resect or Not Resect

Abstract

Meningiomas are most often benign primary intracranial tumors that are frequently found incidentally on imaging. Larger sized meningiomas may present with symptoms such as seizures and headaches. Smaller meningiomas are commonly asymptomatic and usually observed with serial imaging. We present two female patients, both of whom were found to have very small left frontal meningiomas that marginated Broca’s area. The first patient in this case series experienced episodes resembling seizures which consisted of weakness, vision loss, and slurred speech, as well as subtle language dysfunction in her day-to-day conversations. The second patient presented with headaches and an enlarging meningioma. Both meningiomas were surgically resected and the patients’ symptoms resolved. Small meningiomas should not be overlooked as they may very well be the source of neurologic symptoms.

Outcomes of Extracorporeal Life Support (ECLS) in Acute Severe Asthma: A Narrative Review

“…Five ECMO studies and eight ECCO2R studies reporting a total of 494 patients were identified (Table 1). All the ECMO studies were retrospective reviews [1,[4][5][6][7] and the ECCO2R studies were mostly case reports, with only one being a case series [3,[8][9][10][11][12][13][14][15]. After exclusions, five ECMO studies and one ECCO2R study were included in total.…”