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Occipital lobe meningioma in a patient with multiple chemical sensitivities

J F Moorhead1, A J Suruda

  • 1University of Utah, Rocky Mountain Center for Occupational and Environmental Health, Department of Family and Preventive Medicine, Salt Lake City, UT 84112-5120, USA.

American Journal of Industrial Medicine
|March 8, 2000
PubMed
Abstract

Insights

A rare case report details a patient with multiple chemical sensitivities (MCS) diagnosed with an intracranial meningioma. Surgical removal of the tumor did not resolve the patient's MCS symptoms, highlighting the need for further investigation.

Area of Science:

  • Neurology
  • Occupational Medicine
  • Oncology

Background:

  • Multiple Chemical Sensitivities (MCS) diagnosis remains controversial.
  • Concurrent diagnosis of meningioma and MCS with increased intracranial pressure is unprecedented.
  • Patient presented with symptoms evaluated by multiple physicians for chemical sensitivities.

Observation:

  • The patient exhibited papilledema and visual field deficits.
  • Magnetic Resonance Imaging (MRI) revealed a large occipital lobe meningioma.
  • The patient met Cullen's 1987 diagnostic criteria for MCS.

Findings:

  • Surgical resection of the meningioma was performed.
  • Tumor removal had minimal impact on the patient's reported MCS symptoms.
  • The patient was unable to return to her custodial work.

Implications:

  • Intracranial mass lesions, such as meningiomas, can impact olfactory function.
  • Clinicians evaluating MCS patients should consider and rule out treatable intracranial abnormalities.
  • This case underscores the complexity of MCS and potential neurological underpinnings.

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