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Mania and psychosis associated with right parietal meningioma
Emily Moore1, Anshuman A Srivastava1, Senthil Vel Rajan Rajaram Manoharan2
1Rutgers New Jersey Medical School, Newark, NJ, USA.
Objective:
Meningioma is the most common type of primary central nervous system and intracranial tumor, and psychiatric changes attributed to meningioma include depression, apathy, psychosis, and personality changes. We present a case of a 59-year-old man with right parietal meningioma who developed mania with psychotic features throughout multiple hospitalizations.
Method:
Single-case report.
Results:
The patient originally presented with headache and bilateral lower extremity weakness. He was found to have a large medial sphenoidal wing meningioma and a small right parietal meningioma. The sphenoidal wing meningioma was removed via craniotomy, but the right parietal meningioma was not resected. In the following years, the patient developed symptoms of mania and psychosis which coincided with an increase in size of the right parietal meningioma.
Conclusions:
Previous studies have linked right parietal meningioma to psychosis, but this case is one of the first to suggest that right parietal meningioma may be associated with the development of mania along with psychotic features.
Insights
This case report highlights a man with right parietal meningioma who developed mania and psychosis. It suggests a link between this specific brain tumor and manic symptoms.
Area of Science:
- Neurology
- Neuro-oncology
- Psychiatry
Background:
- Meningiomas are common primary central nervous system tumors.
- Psychiatric changes like depression, apathy, psychosis, and personality changes are known associations.
- The right parietal lobe is implicated in various cognitive and emotional functions.
Observation:
- A 59-year-old male presented with headache and lower extremity weakness.
- He had a medial sphenoidal wing meningioma (resected) and a right parietal meningioma (non-resected).
- The non-resected right parietal meningioma increased in size over time.
Findings:
- The patient developed mania with psychotic features.
- These psychiatric symptoms coincided with the growth of the right parietal meningioma.
- This is one of the first reports linking right parietal meningioma to mania and psychosis.
Implications:
- Right parietal meningiomas may be associated with the development of mania and psychotic features.
- Further research is needed to understand the neurobiological mechanisms.
- This case underscores the importance of considering intracranial tumors in new-onset psychiatric disorders.
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