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J Family Med Prim Care. 2018 Jan-Feb;7(1):252-254. doi: 10.4103/jfmpc.jfmpc_157_17.

Frontal meningioma with psychiatric symptoms.

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Department of Psychiatry, Hospital Raja Perempuan Zainab II, Kelantan, Malaysia.
Department of Family Medicine, School of Medical Sciences, Universiti Sains , Kelantan, Malaysia.
Department of Neurosciences, School of Medical Sciences, Universiti Sains , Kelantan, Malaysia.


Frontal meningioma is often asymptomatic and patient may present with psychiatric symptoms. We report a case of 45- year-old female patient with no premorbid medical illness presented with 6 months history of depressive symptoms and changes in personality. Her worsening cognitive impairment brought her to psychiatry clinic and led to further investigation with contrast-enhanced computed tomography (CECT) Brain. The result showed well defined markedly enhancing lesion in the frontal region measuring 5.5 cm X5.2 cm X 4.4 cm with mass effect to the adjacent brain parenchyma and associated surrounding edema. Diagnosis of bifrontal tumour-olfactory Groove Meningioma was made. Patient underwent bifrontal craniotomy and tumour excision. The quality of life improved after surgical excision.


Atypical psychiatric symptoms; cognitive impairment; frontal meningioma

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