[A psychotic decompensation after meningioma surgery]

Area of Science:

• Neuroscience
• Neurosurgery
• Psychiatry

Background:

• Meningiomas are typically benign tumors.
• Intracranial mass effect from meningiomas can manifest as neuropsychiatric symptoms.
• A case of a 55-year-old female with psychiatric and cognitive complaints attributed to a frontal meningioma is presented.

Purpose of the Study:

• To describe a case of psychiatric decompensation following frontal meningioma resection.
• To illustrate the complex factors contributing to post-surgical psychiatric decline.
• To emphasize the importance of an interdisciplinary approach for managing patients with meningiomas.

Main Methods:

• Case report of a 55-year-old female patient.
• Review of clinical presentation, diagnosis, surgical intervention, and post-operative course.
• Analysis of contributing factors to psychiatric decompensation.

Main Results:

• The patient's psychiatric and cognitive complaints were linked to a frontal meningioma.
• Following surgical resection, the patient experienced severe psychotic decompensation.
• The case underscores the intricate interplay of factors leading to psychiatric decline after brain surgery.

Conclusions:

• An interdisciplinary approach is crucial for managing patients with meningiomas.
• Early identification of patients at risk for psychiatric decompensation is essential.
• Pre-surgical assessment and planning are vital for optimizing patient outcomes.