• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of brmedjBMJ helping doctors make better decisionsSearchLatest content
Br Med J. Jul 6, 1968; 3(5609): 9–16.
PMCID: PMC1989489

Three Cases of Frontal Meningiomas Presenting Psychiatrically

Abstract

The clinical presentation of three patients with meningiomas at different frontal sites is described. They had been ill for 3, 25, and 43 years before the tumour was demonstrated radiologically. Apathy, incontinence, dementia, and fits were seen in association with middle and superior frontal lesions, and may be mistaken for symptoms of involutional depression or presenile cerebral atrophy. In contrast, excitement and hallucinosis were seen in association with a basal frontal lesion, and may mimic psychotic syndromes like hypomania and schizophrenia, particularly if the tumour encroaches on the third ventricle and adjacent structures. Irreversible loss of myelin and axons in the frontal areas of brain surrounding the tumour may have contributed to the clinical picture of the syndrome shown by these patients.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (2.3M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • ANDREW J, NATHAN PW. LESIONS ON THE ANTERIOR FRONTAL LOBES AND DISTURBANCES OF MICTURITION AND DEFAECATION. Brain. 1964 Jun;87:233–262. [PubMed]
  • JANZ D. STATUS EPILEPTICUS AND FRONTAL LOBE LESIONS. J Neurol Sci. 1964 Sep-Oct;1(5):446–457. [PubMed]
  • KELLY R. Colloid cysts of the third ventricle; analysis of twenty-nine cases. Brain. 1951 Mar;74(1):23–65. [PubMed]
  • KLOTZ M. Incidence of brain tumors in patients hospitalized for chronic mental disorders. Psychiatr Q. 1957;31(4):669–680. [PubMed]
  • Logue V, Durward M, Pratt RT, Piercy M, Nixon WL. The quality of survival after rupture of an anterior cerebral aneurysm. Br J Psychiatry. 1968 Feb;114(507):137–160. [PubMed]
  • PATTON RB, SHEPPARD JA. Intracranial tumors found at autopsy in mental patients. Am J Psychiatry. 1956 Oct;113(4):319–324. [PubMed]
  • SELECKI BR. CEREBRAL MID-LINE TUMOURS INVOLVING THE CORPUS CALLOSUM AMONG MENTAL HOSPITAL PATIENTS. Med J Aust. 1964 Dec 12;2:954–960. [PubMed]
  • SONIAT TLL. Psychiatric symptoms associated with intracranial neoplasms. Am J Psychiatry. 1951 Jul;108(1):19–22. [PubMed]
  • WOOD MW, WHITE RJ, KERNOHAN JW. One hundred intracranial meningiomas found incidentally at necropsy. J Neuropathol Exp Neurol. 1957 Jul;16(3):337–340. [PubMed]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles