Giant frontal lobe meningioma

Area of Science:

• Geriatric Medicine
• Neurology
• Cognitive Science

Background:

• A 90-year-old female patient exhibited a constellation of symptoms including generalized weakness, gait imbalance, urinary incontinence, memory decline, and altered sexual behavior.
• These symptoms suggest a complex neurological or psychiatric condition in an elderly individual.

Purpose of the Study:

• To document and analyze the clinical presentation of a geriatric patient with severe cognitive impairment.
• To emphasize the importance of comprehensive geriatric assessment in diagnosing complex neurological conditions.

Main Methods:

• Clinical case presentation of a 90-year-old woman.
• Cognitive function was assessed using the Reversed Hasegawa's Dementia Scale.
• Evaluation of neurological and behavioral symptoms.

Main Results:

• The patient presented with gradual onset of generalized weakness, imbalance, urinary incontinence, memory impairment, and deviant sexual behavior.
• The Reversed Hasegawa's Dementia Scale score was 13, which is below the dementia cutoff point of 21/20, indicating significant cognitive decline.

Conclusions:

• The patient's symptoms and low cognitive scale score are indicative of severe dementia.
• This case underscores the challenges in diagnosing and managing complex neurological and behavioral symptoms in the elderly population.