Meningioma Infiltrative Accompanied by Organic Delusional Disorders

Abstract

A B S T R A C TIntroduction. Meningiomas are primary extra-axial tumours of the central nervoussystem (CNS) with an incidence of 2 in 100,000 in adults. There is an estimate of a3: 1 female predominance of these tumours mainly due to the action of estrogen.Meningiomas are commonly associated with headaches, imbalances, visualdisturbances, and other neurological problems which can be very debilitating. Thiscase report will describe a case of a brain tumour accompanied by psychiatricdisorders. Case presentation. Mrs W, a 37 years old woman, a housewife, Javanese,Moslem, married, lower socioeconomic background, came with her family to theNeurology polyclinic because she experienced changes in behaviour since sevenmonths ago in the form of much silence, daydreaming, cannot communicate,sometimes talking to herself, eating drinking and bathing must be helped and served.Four months before being admitted to the hospital, because the patient's headachesworsened and the patient became increasingly withdrawn, accompanied by weaknessin both legs. From the results of CT-scan with contrast, the results showed that themeningioma infiltrates and perifocal oedema, which caused subfalcine herniation asfar as 2.73 cm to the right. Conclusion. Infiltrative meningioma is often accompaniedby mental disorders in the form of personality changes, depressive-like symptomsand neurological symptoms. Clinicians should be able to detect a brain mass so thatmanagement can be undertaken immediately.