Hussin Suria, Yusoff Siti Suhaila Mohd, Zin Faridah Mohd, Ghani Ab Rahman Izaini
Department of Psychiatry, Hospital Raja Perempuan Zainab II, Kelantan, Malaysia.
Department of Family Medicine, School of Medical Sciences, Universiti Sains , Kelantan, Malaysia.
J Family Med Prim Care. 2018 Jan-Feb;7(1):252-254. doi: 10.4103/jfmpc.jfmpc_157_17.
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.
额部脑膜瘤通常无症状，患者可能会出现精神症状。我们报告一例45岁女性患者，既往无基础疾病，有6个月的抑郁症状和人格改变病史。她日益加重的认知障碍促使她前往精神科门诊就诊，并进一步接受了脑部增强计算机断层扫描（CECT）检查。结果显示，额叶区域有一个边界清晰、明显强化的病灶，大小为5.5厘米×5.2厘米×4.4厘米，对相邻脑实质有占位效应，并伴有周围水肿。诊断为双侧额叶肿瘤 - 嗅沟脑膜瘤。患者接受了双侧额叶开颅肿瘤切除术。手术切除后生活质量得到改善。
