Meningiomatosis revealed by a major depressive syndrome

Dautricourt, Sophie; Marzloff, Vincent; Dollfus, Sonia

doi:10.1136/bcr-2015-211909

Cited by 11 publications

(10 citation statements)

References 17 publications

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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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Section: Discussionmentioning

confidence: 99%

Psychiatric Manifestations as the Primary Presentation of Frontal Meningioma

Lally

Galarneau

2023

TOJ

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“…Psychiatric disorders are often misinterpreted and undertreated, although it may have considerable influence over the psychological well-being of brain tumor patients. 9 20 It may lead to behavioral changes, increased suicidal tendency, low treatment adherence, longer recovery, and diminished survival. Moreover, caregivers are also predisposed to develop behavioral and personality changes.…”

Section: Discussionmentioning

confidence: 99%

Study of Association of Various Psychiatric Disorders in Brain Tumors

et al. 2022

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Background Brain tumors may be associated with high morbidity, and psychiatric symptoms may be an early manifestation. It is important to address mental symptoms as early as possible because they are prone to develop psychiatric comorbidities in future. If untreated, these situations may worsen and lead to burden upon caregivers. Methods A total of 176 brain tumor patients between January 2021 and January 2022 constituted the sample size. All recently diagnosed cases of brain tumor with age equal to or more than 18 years who can comprehend and answer questionnaires were included. Patients with a long history of brain tumor or who had a history of a psychiatric illness other than presenting symptoms or any other serious medical illness were excluded. Results Twenty-seven percent of brain tumor patients had psychiatric symptoms. Depressive symptoms were the most common, associated with 24% of patients, followed by anxiety disorders. Psychiatric disorders were more common in supratentorial compared to infratentorial tumors. Psychiatric symptoms seem to be associated more commonly with malignant tumors and peritumoral edema. Among malignant tumors, depressive symptoms tend to be related with high-grade glioma, and among benign tumors, they were more common in meningioma. No predilection to laterality and anatomical lobe involvement is reported. Conclusion Screening of psychiatric disorders should be a routine in brain tumor patients. An integrated approach is required to treat brain tumor patients. Healthcare professionals should be more vigilant about the onset of psychiatric symptoms and the need of palliative care to improve the quality of life.

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“…A systemic review and meta-analysis by Huang et al showed that the overall prevalence of depressive symptoms was 21.7% in patients with intracranial tumors [7]. Despite that, there is no consensus on the indication for brain imaging in patients presenting with depressive symptoms; nevertheless, it is recommended in late-onset of depression, treatment-resistant cases, and in patients with a change in neurobehavioral status accompanied by neurological findings [8][9]. HPCs have the tendency to recur and to develop distant metastases many years post-surgical resection.…”

Section: Discussionmentioning

confidence: 99%

Solitary Fibrous Tumor Revealed by Worsening Clinical Depression: A Case Report from Oman

Al-Harthy

Al-Mahrouqi

Al-Obaidani

et al. 2020

Cureus

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Brain tumors are serious pathologies that can lead to significant morbidity and mortality, and early detection and diagnosis may result in favorable outcomes for patients. We present the case of a 27-year-old male who was referred to the Department of Behavioural Medicine of the Sultan Qaboos University Hospital (SQUH), Muscat, Oman, in 2019, due to worsening of his depressive symptoms. Depression was the only initial symptom of the patient's solitary fibrous tumor, and surgical resection of the tumor followed by radiotherapy resulted in the complete remission of his psychiatric symptoms.

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Meningiomatosis revealed by a major depressive syndrome

Cited by 11 publications

References 17 publications

Psychiatric Manifestations as the Primary Presentation of Frontal Meningioma

Psychiatric Manifestations as the Primary Presentation of Frontal Meningioma

Study of Association of Various Psychiatric Disorders in Brain Tumors

Solitary Fibrous Tumor Revealed by Worsening Clinical Depression: A Case Report from Oman

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