Meningioma history and symptoms: Difference between revisions

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==Overview==
==Overview==
The hallmark symptom of meningioma is morning [[headache]]. Other common symptoms of meningioma include [[weakness]], facial drooping, and [[confusion]]. However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the [[tumor]].<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25 2015</ref><ref name="UCLA">Meningioma Brain Tumor. UCLA Neurosurgery(2015) http://neurosurgery.ucla.edu/body.cfm?id=1123&ref=62&action=detail Accessed on September, 25 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25 2015</ref>
The hallmark symptom of meningioma is morning [[headache]]. Other common symptoms of meningioma include [[weakness]], facial drooping, and [[confusion]]. However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the [[tumor]].<ref name="wiki">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25 2015</ref><ref name="UCLA">Meningioma Brain Tumor. UCLA Neurosurgery(2015) http://neurosurgery.ucla.edu/body.cfm?id=1123&ref=62&action=detail Accessed on September, 25 2015</ref><ref name="radio">Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25 2015</ref>


==History==
==History==
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===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:<ref name="pmid29492130">{{cite journal| author=Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF et al.| title=Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy. | journal=Asian J Neurosurg | year= 2018 | volume= 13 | issue= 1 | pages= 86-89 | pmid=29492130 | doi=10.4103/1793-5482.181115 | pmc=5820904 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29492130  }} </ref><ref name="pmid30898941">{{cite journal| author=Antunes C, Ramos R, Machado MJ, Filipe MA| title=Giant posterior fossa meningioma: the importance of early diagnosis and challenges concerning treatment. | journal=BMJ Case Rep | year= 2019 | volume= 12 | issue= 3 | pages=  | pmid=30898941 | doi=10.1136/bcr-2018-228454 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30898941  }} </ref><ref name="pmid30846670">{{cite journal| author=Sim SK, Khairul Aizad A, Lim SS, Wong A| title=Large falcine meningioma presented as treatment-resistant depression: A case report. | journal=Med J Malaysia | year= 2019 | volume= 74 | issue= 1 | pages= 87-89 | pmid=30846670 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30846670  }} </ref><ref name="pmid30999261">{{cite journal| author=Gyawali S, Sharma P, Mahapatra A| title=Meningioma and psychiatric symptoms: An individual patient data analysis. | journal=Asian J Psychiatr | year= 2019 | volume= 42 | issue=  | pages= 94-103 | pmid=30999261 | doi=10.1016/j.ajp.2019.03.029 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30999261  }} </ref>
Common symptoms of [disease] include:<ref name="pmid29492130">{{cite journal| author=Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF et al.| title=Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy. | journal=Asian J Neurosurg | year= 2018 | volume= 13 | issue= 1 | pages= 86-89 | pmid=29492130 | doi=10.4103/1793-5482.181115 | pmc=5820904 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29492130  }} </ref><ref name="pmid30898941">{{cite journal| author=Antunes C, Ramos R, Machado MJ, Filipe MA| title=Giant posterior fossa meningioma: the importance of early diagnosis and challenges concerning treatment. | journal=BMJ Case Rep | year= 2019 | volume= 12 | issue= 3 | pages=  | pmid=30898941 | doi=10.1136/bcr-2018-228454 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30898941  }} </ref><ref name="pmid30846670">{{cite journal| author=Sim SK, Khairul Aizad A, Lim SS, Wong A| title=Large falcine meningioma presented as treatment-resistant depression: A case report. | journal=Med J Malaysia | year= 2019 | volume= 74 | issue= 1 | pages= 87-89 | pmid=30846670 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30846670  }} </ref><ref name="pmid30999261">{{cite journal| author=Gyawali S, Sharma P, Mahapatra A| title=Meningioma and psychiatric symptoms: An individual patient data analysis. | journal=Asian J Psychiatr | year= 2019 | volume= 42 | issue=  | pages= 94-103 | pmid=30999261 | doi=10.1016/j.ajp.2019.03.029 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30999261  }} </ref>
*Headache
*[[Headache]]
*Visual impairment  
*Visual impairment  
*Seizures
*[[Seizure|Seizures]]
*Vomiting
*[[Vomiting]]
*Loss in the sense of smell
*Loss in the sense of smell
*Numbness
*[[Numbness]]
*Behavioral changes
*Behavioral changes
*Psychiatric symptoms
*Psychiatric symptoms
*Muscle weakness  
*[[Muscle weakness]]
*Urinary incontinence
*[[Urinary incontinence]]
* Some patients with meningioma are asymptomatic. In cases like these, the tumor is usually found incidentally.<ref name="pmid29492130">{{cite journal| author=Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF et al.| title=Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy. | journal=Asian J Neurosurg | year= 2018 | volume= 13 | issue= 1 | pages= 86-89 | pmid=29492130 | doi=10.4103/1793-5482.181115 | pmc=5820904 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29492130  }} </ref>
* Some patients with meningioma are [[asymptomatic]]. In cases like these, the [[tumor]] is usually found incidentally.<ref name="pmid29492130">{{cite journal| author=Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF et al.| title=Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy. | journal=Asian J Neurosurg | year= 2018 | volume= 13 | issue= 1 | pages= 86-89 | pmid=29492130 | doi=10.4103/1793-5482.181115 | pmc=5820904 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29492130  }} </ref>


* However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the tumor:
* However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the [[tumor]]:
:* '''Symptoms observed in [[olfactory]] groove meningioma include:'''<ref name="Welge-Luessen2001">{{cite journal|last1=Welge-Luessen|first1=A|title=Olfactory function in patients with olfactory groove meningioma|journal=Journal of Neurology, Neurosurgery & Psychiatry|volume=70|issue=2|year=2001|pages=218–221|issn=00223050|doi=10.1136/jnnp.70.2.218}}</ref>
:* '''Symptoms observed in [[olfactory]] groove meningioma include:'''<ref name="Welge-Luessen2001">{{cite journal|last1=Welge-Luessen|first1=A|title=Olfactory function in patients with olfactory groove meningioma|journal=Journal of Neurology, Neurosurgery & Psychiatry|volume=70|issue=2|year=2001|pages=218–221|issn=00223050|doi=10.1136/jnnp.70.2.218}}</ref>



Revision as of 20:14, 11 June 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]

Overview

The hallmark symptom of meningioma is morning headache. Other common symptoms of meningioma include weakness, facial drooping, and confusion. However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the tumor.[1][2][3]

History

  • When evaluating a patient for meningioma, you should take a detailed history of the presenting symptom (duration, onset, progression), other associated symptoms, and a thorough past medical history review. Other specific areas of focus when obtaining the history are:[4][5]

Symptoms

Common Symptoms

Common symptoms of [disease] include:[6][7][8][9]

  • However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the tumor:
  • Headahce
  • Memory disturbance
  • Visual disturbances
  • Loss of intellectual functions
  • Inability to smell (unilateral or bilateral)
  • Symptoms observed in posterior fossa meningioma include:[11]
  • Headaches
  • Cerebral dysfunctions
  • Hearing loss/Tinnitus
  • Trigeminal anesthesia/Neuralgia
  • Facial palsy
  • Diplopia
  • Ataxia
  • Cerebellar compression syndrome
  • Brain stem compression syndrome
  • Cranial nerves dysfunction
  • Swallowing diffuclties
  • Voice abnormalities
  • Symptoms observed in parafalcine meningioma include:[12]
  • Neurologic deficits
  • Visual dysfunction
  • Ataxia
  • Decreased visual acuity
  • Focal neurological deficit
  • Proptosis
  • Cognitive impairment

References

  1. Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25 2015
  2. Meningioma Brain Tumor. UCLA Neurosurgery(2015) http://neurosurgery.ucla.edu/body.cfm?id=1123&ref=62&action=detail Accessed on September, 25 2015
  3. Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25 2015
  4. Risk factors for brain and spinal cord cancer. Canadian Cancer Society(2015) http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/risks/?region=mb Accessed on September, 25 2015
  5. Wiemels J, Wrensch M, Claus EB (2010). "Epidemiology and etiology of meningioma". J Neurooncol. 99 (3): 307–14. doi:10.1007/s11060-010-0386-3. PMC 2945461. PMID 20821343.
  6. 6.0 6.1 Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF; et al. (2018). "Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy". Asian J Neurosurg. 13 (1): 86–89. doi:10.4103/1793-5482.181115. PMC 5820904. PMID 29492130.
  7. Antunes C, Ramos R, Machado MJ, Filipe MA (2019). "Giant posterior fossa meningioma: the importance of early diagnosis and challenges concerning treatment". BMJ Case Rep. 12 (3). doi:10.1136/bcr-2018-228454. PMID 30898941.
  8. Sim SK, Khairul Aizad A, Lim SS, Wong A (2019). "Large falcine meningioma presented as treatment-resistant depression: A case report". Med J Malaysia. 74 (1): 87–89. PMID 30846670.
  9. Gyawali S, Sharma P, Mahapatra A (2019). "Meningioma and psychiatric symptoms: An individual patient data analysis". Asian J Psychiatr. 42: 94–103. doi:10.1016/j.ajp.2019.03.029. PMID 30999261.
  10. Welge-Luessen, A (2001). "Olfactory function in patients with olfactory groove meningioma". Journal of Neurology, Neurosurgery & Psychiatry. 70 (2): 218–221. doi:10.1136/jnnp.70.2.218. ISSN 0022-3050.
  11. Velho V, Agarwal V, Mally R, Palande DA (2012). "Posterior fossa meningioma "our experience" in 64 cases". Asian J Neurosurg. 7 (3): 116–24. doi:10.4103/1793-5482.103710. PMC 3532757. PMID 23293666.
  12. Kong X, Gong S, Lee IT, Yang Y (2018). "Microsurgical treatment of parafalcine meningiomas: a retrospective study of 126 cases". Onco Targets Ther. 11: 5279–5285. doi:10.2147/OTT.S162274. PMC 6124789. PMID 30214233.
  13. Oi S, Saito K, Ichikawa M, Aimi Y, Okada T, Nagatani T; et al. (2008). "[Case of large sphenoid ridge meningioma treated by 2-stage surgery]". No Shinkei Geka. 36 (10): 885–90. PMID 18975564.
  14. Honeybul S, Neil-Dwyer G, Lang DA, Evans BT, Ellison DW (2001). "Sphenoid wing meningioma en plaque: a clinical review". Acta Neurochir (Wien). 143 (8): 749–57, discussion 758. PMID 11678395.
  15. Saha R, Jakhar K, Kumar R (2016). "Sphenoid Wing Meningioma Presenting as Cognitive Impairment". Shanghai Arch Psychiatry. 28 (3): 173–176. doi:10.11919/j.issn.1002-0829.215142. PMC 5434305. PMID 28638189.


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