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Psychopathological manifestations of multiple meningiomas in the right hemisphere

https://doi.org/10.14412/2074-2711-2015-2-22-27

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Abstract

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.

About the Authors

A. A. Lukshina
N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia 16, 4th Tverskaya-Yamskaya St., Moscow 127047
Russian Federation


O. S. Zaitsev
N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia 16, 4th Tverskaya-Yamskaya St., Moscow 127047
Russian Federation


I. A. Nagorskaya
N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia 16, 4th Tverskaya-Yamskaya St., Moscow 127047
Russian Federation


D. Yu. Usachev
N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia 16, 4th Tverskaya-Yamskaya St., Moscow 127047
Russian Federation


V. A. Lukshin
N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia 16, 4th Tverskaya-Yamskaya St., Moscow 127047
Russian Federation


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For citation:


Lukshina A.A., Zaitsev O.S., Nagorskaya I.A., Usachev D.Y., Lukshin V.A. Psychopathological manifestations of multiple meningiomas in the right hemisphere. Neurology, Neuropsychiatry, Psychosomatics. 2015;7(2):22-27. (In Russ.) https://doi.org/10.14412/2074-2711-2015-2-22-27

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ISSN 2074-2711 (Print)
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