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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2015-2-22-27</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-507</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group></article-categories><title-group><article-title>Psychopathological manifestations of multiple meningiomas in the right hemisphere</article-title><trans-title-group xml:lang="ru"><trans-title>Психопатологические проявления множественных менингиом правого полушария</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукшина</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukshina</surname><given-names>A. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зайцев</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaitsev</surname><given-names>O. S.</given-names></name></name-alternatives><email xlink:type="simple">OZaitsev@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нагорская</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nagorskaya</surname><given-names>I. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Усачев</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Usachev</surname><given-names>D. Yu.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукшин</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukshin</surname><given-names>V. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «НИИ нейрохирургии им. Н.Н. Бурденко», Москва, Россия 125047, Москва, ул. 4-я Тверская-Ямская, 16</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia 16, 4th Tverskaya-Yamskaya St., Moscow 127047</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>12</day><month>06</month><year>2015</year></pub-date><volume>7</volume><issue>2</issue><fpage>22</fpage><lpage>27</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Lukshina A.A., Zaitsev O.S., Nagorskaya I.A., Usachev D.Y., Lukshin V.A., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Лукшина А.А., Зайцев О.С., Нагорская И.А., Усачев Д.Ю., Лукшин В.А.</copyright-holder><copyright-holder xml:lang="en">Lukshina A.A., Zaitsev O.S., Nagorskaya I.A., Usachev D.Y., Lukshin V.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nnp.ima-press.net/nnp/article/view/507">https://nnp.ima-press.net/nnp/article/view/507</self-uri><abstract><p>The paper gives the data available in the literature on meningiomas and their psychopathological manifestations that occupy a central position in the clinical picture in almost every 5 patients with these tumors. The authors provide a clinical and psychopathological analysis of a female patient with multiple meningiomas in the right hemisphere: a giant meningioma in the posterior third of the falx, a large meningioma in the temporal region, and three small meningiomas in the frontal and parietal regions. The disease started as headache; however, psychopathological symptoms remained missed by physicians, such as emotional lability; personality changes leading to family dissension; lower criticism; spatial orientation problems; hypomnesia; left-sided visual inattention,occurred in parallel. Surgical treatment was performed by stages: the two largest meningiomas were removed at an 11-day interval, which presented a means of observing psychopathological changes after each operation. It is concluded that greater attention should be given to the psychopathological manifestations of the disease, which is important to make a primary diagnosis and to define further treatment policy.</p></abstract><trans-abstract xml:lang="ru"><p>Представлены данные литературы о менингиомах и их психопатологических проявлениях, занимающих центральное место в клинической картине примерно у каждого 5-го пациента с этими опухолями. Приведен клинико-психопатологический анализ пациентки с множественными менингиомами правого полушария: гигантской – в задней трети серпа, большой – в височной области и трех небольших – в лобной и теменной областях. Заболевание дебютировало с головной боли, однако параллельно появились психопатологические симптомы, оставшиеся незамеченными врачами: эмоциональная лабильность, личностные изменения, приведшие к семейному разладу, снижение критичности, трудности в ориентации на местности, ослабление памяти и левостороннее зрительное невнимание. Хирургическое лечение проводилось поэтапно: с интервалом в 11 дней удалены две наиболее крупные менингиомы, что дало возможность наблюдать психопатологическую динамику после каждой операции. Сделан вывод о необходимости более пристального внимания к психопатологическим проявлениям заболевания, что важно как для первичной диагностики, так и для определения тактики дальнейшего лечения.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>множественные менингиомы</kwd><kwd>психические нарушения</kwd><kwd>симптомы правополушарного поражения</kwd><kwd>нейропсихиатрический анализ.</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple meningiomas</kwd><kwd>mental disorders</kwd><kwd>symptoms of right hemisphere damage</kwd><kwd>neuropsychiatric analysis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Whittle IR, Smith C, Navoo P, Collie D. Meningiomas. 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