Meningioma history and symptoms

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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

Symptoms of meningioma include visual defects, speech difficulty, paralysis and headache.

History

• When evaluating a patient for multiple myeloma, you should take a detailed history of the presenting symptom (duration, onset, progression), other associated symptoms, and a thorough medication review. Other specific areas of focus when obtaining the history are outlined below:
  • Review past medical history for other plasma cell diseases
  • Review family history for members with positive history of the disease
  • Review occupational history related to farming or oil industry
  • Review any exposure to radiation or toxic chemicals

Common Symptoms

• General symptoms of meningioma include morning headache, weakness, seizures and change in mental status.
• The specific clinical presentation of meningioma is determined by the exact anatomical location of the tumor:

• Symptoms specific for olfactory groove and sella tumor symptoms include:

• Urinary incontinence
• Mild personality changes
• Mild memory loss
• Visual defects
• Decreased concentration span
• Anosmia

Symptoms specific for cerebral convexity tumor include: Visual defect Speech difficulties

Symptoms specific for posterior fossa tumor symptoms include: Swallowing diffuclties Voice abnormalities Imbalance Loss of coordination

Symptoms specific for parafalcine tumor symptoms include: Personality changes Tremor Imbalance Memory loss

Symptoms specific for cerebellopontine angle tumor symptoms include: Facial palsy Dizziness Loss of coordination Imbalance Voice abnormalities Hearing loss Difficulty swallowing

Symptoms specific for parasagittal frontoparietal tumor symptoms include: Urinary incontinence Spastic hemiparesis

Symptoms specific for sphenoid ridge tumor symptoms include: Memory loss Decreased visual acuity Outward protrusion of the eyes Extraocular muscle paralysis Personality changes

• Early morning headache is the most common symptom.
• Focal seizures
• Lower limb spastic paralysis
• Diplopia
• Unequal pupil size
• Urinary incontinence
• Change in mental status
• focal neurological deficits

References

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