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, focal neurological deficit, 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, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
The hallmark symptom of meningioma is morning [[headache]]. Other common symptoms of meningioma include [[weakness]], focal neurological deficit, 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, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>


==History==
==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:<ref name="Canada">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, 25th 2015</ref><ref name="pmid20821343">{{cite journal| author=Wiemels J, Wrensch M, Claus EB| title=Epidemiology and etiology of meningioma. | journal=J Neurooncol | year= 2010 | volume= 99 | issue= 3 | pages= 307-14 | pmid=20821343 | doi=10.1007/s11060-010-0386-3 | pmc=PMC2945461 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20821343  }} </ref>
*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:<ref name="Canada">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, 25th 2015</ref><ref name="pmid20821343">{{cite journal| author=Wiemels J, Wrensch M, Claus EB| title=Epidemiology and etiology of meningioma. | journal=J Neurooncol | year= 2010 | volume= 99 | issue= 3 | pages= 307-14 | pmid=20821343 | doi=10.1007/s11060-010-0386-3 | pmc=PMC2945461 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20821343  }} </ref>
**Review any excessive cell phone use   
**Review any excessive cell phone use   
**Review any exposure to head radiation therapy or dental X-ray
**Review any exposure to head [[radiation therapy]] or dental [[X-ray]]
**Review any history of head trauma
**Review any history of [[head trauma]]


==Common Symptoms==  
==Common Symptoms==  
*General symptoms of meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
*General symptoms of meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Morning headache
:*Morning [[headache]]
:*Weakness and focal neurological deficit
:*[[Weakness]] and focal neurological deficit
:*Confusion
:*[[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, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
*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, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in olfactory groove meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in [[olfactory]] groove meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
::*Urinary incontinence
::*[[Urinary incontinence]]
::*Mild personality changes  
::*Mild personality changes  
::*Mild memory loss
::*Mild memory loss
::*Visual defects
::*[[Visual defect]]s
::*Decreased concentration span
::*Decreased concentration span
::*Anosmia   
::*[[Anosmia]]  


:*Symptoms observed in cerebral convexity meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in [[cerebral]] convexity meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
::*Visual defect
::*Visual defect
::*Speech difficulties
::*Speech difficulties
Line 34: Line 34:
::*Swallowing diffuclties  
::*Swallowing diffuclties  
::*Voice abnormalities  
::*Voice abnormalities  
::*Imbalance
::*[[Imbalance]]
::*Loss of coordination  
::*Loss of coordination  


:*Symptoms observed in parafalcine meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in parafalcine meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
::*Significant personality changes
::*Significant personality changes
::*Tremor
::*[[Tremor]]
::*Imbalance  
::*Imbalance  
::*Significant memory loss
::*Significant [[memory loss]]


:*Symptoms observed in cerebellopontine angle meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in [[cerebellopontine angle]] meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
::*Facial palsy  
::*[[Facial palsy]]
::*Dizziness
::*[[Dizziness]]
::*Loss of coordination
::*Loss of coordination
::*Imbalance  
::*Imbalance  
::*Voice abnormalities
::*Voice abnormalities
::*Hearing loss  
::*[[Hearing loss]]
::*Difficulty swallowing
::*Difficulty swallowing


:*Symptoms observed in parasagittal frontoparietal meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in parasagittal frontoparietal meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
::*Urinary incontinence
::*Urinary incontinence
::*Spastic hemiparesis  
::*Spastic [[hemiparesis]]


:*Symptoms observed in sphenoid ridge meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:*Symptoms observed in [[sphenoid]] ridge meningioma include:<ref name="wiki"> Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 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, 25th 2015</ref><ref name="radio"> Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
::*Memory loss
::*Memory loss
::*Decreased visual acuity  
::*Decreased [[visual acuity]]
::*Outward protrusion of the eyes
::*[[Exophthalmos]]
::*Extraocular muscle paralysis
::*[[Extraocular muscle]] paralysis
::*Personality changes
::*Personality changes


Revision as of 23:49, 25 September 2015

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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, focal neurological deficit, 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]

Common Symptoms

  • General symptoms of meningioma include:[1][2][3]
  • However, the specific clinical presentation of meningioma is determined by the exact anatomical location of the tumor:[1][2][3]
  • Visual defect
  • Speech difficulties
  • Symptoms observed in posterior fossa meningioma include:[1][2][3]
  • Swallowing diffuclties
  • Voice abnormalities
  • Imbalance
  • Loss of coordination
  • Symptoms observed in parafalcine meningioma include:[1][2][3]
  • Symptoms observed in parasagittal frontoparietal meningioma include:[1][2][3]

References

  1. ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma#Signs_and_symptoms Accessed on September, 25th 2015
  2. ↑ 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 Meningioma Brain Tumor. UCLA Neurosurgery(2015) http://neurosurgery.ucla.edu/body.cfm?id=1123&ref=62&action=detail Accessed on September, 25th 2015
  3. ↑ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 Meningioma. Radiopaedia (2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 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, 25th 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.


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