+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Medial Cranial Fossa Meningioma Diagnosed as Mixed Anxiety Disorder with Dissociative Symptoms and Vertigo

, : Medial Cranial Fossa Meningioma Diagnosed as Mixed Anxiety Disorder with Dissociative Symptoms and Vertigo. Case Reports in Psychiatry 2016: 3827547-3827547

Meningiomas are mostly benign tumors of the meninges that may stay clinically silent or present first with psychiatric symptoms only. We present a case of medial cranial fossa meningioma that was first diagnosed as mixed anxiety disorder with dissociative symptoms and vertigo. In light of the intact neurological and vestibular system examination, our patient's vertigo and depersonalization were firstly addressed as psychosomatic symptoms of the psychiatric syndrome. Despite decreased anxiety and improved mood, dissociative symptoms and vertigo were resistant to treatment which prompted further research yielding a left hemisphere localized meningioma. Resection of meningioma resulted in full remission of the patient proving it to be responsible for the etiology of the psychiatric syndrome and vertigo. We suggest that brain imaging should be performed for patients with late-onset (>50 years) psychiatric symptoms and those with treatment resistance. It is important to keep in mind always that medically unexplained symptoms may become explicable with detailed assessment and regular follow-up of the patient.


PMID: 27651969

DOI: 10.1155/2016/3827547

Other references

Sheets Ronald Wynn; Nesbitt Bruce E.; Muehlenbachs Karlis, 1996: Meteoric water component in magmatic fluids from porphyry copper mineralization, Babine Lake area, British Columbia. Coexisting vapor-rich and high-salinity "magmatic" fluid inclusions from mineralized quartz+ or - carbonate veins in porphyry Cu systems of the Babine Lake area are depleted in deuterium (D) relative to accepted magmatic isotopic values....

Yuan L.F.; Leff F.; Beaudoin R.L., 1982: Immunochemical nature of protective antigens in plasmodium berghei murine malaria. Molecular & Biochemical Parasitology (SUPPL): 653

Anonymous, 1999: Publicity work in social facilities: news is merchandise too. Pflege Zeitschrift 51(12): 899-899

Cameron, N.M.S., 1990: Human fertilisation and embryology. Ethics & Medicine 6(3): 37-37

Interdisciplinary Soc Biol Psychiat, 1969: Symposium on behavior and possibility to quantitate behavior by the interdisciplinary society of biological psychiatry amsterdam the netherlands january 24 1969. Psychiatria Neurologia Neurochirurgia 72(5): 423-489

Uni, M.; Yoshimi, A.; Maki, H.; Maeda, D.; Nakazaki, K.; Nakamura, F.; Fukayama, M.; Kurokawa, M., 2013: Successful treatment with recombinant thrombomodulin for B-cell lymphoma-associated hemophagocytic syndrome complicated by disseminated intravascular coagulation. We report here a 47-year-old male with the diagnosis of high-grade B-cell lymphoma and hemophagocytosis accompanying disseminated intravascular coagulation (DIC). Lymphoma-associated hemophagocytic syndrome (LAHS) is a life-threatening disorder, a...

Latham, M.C.; Beaudry, M., 2001: Globalization and inequity as determinants of malnutrition: a clear need for activism. Attempts to reduce food insecurity and malnutrition have generally concentrated on food availability rather than on food demand, and on technical solutions such as micronutrient fortification and supplementation rather than on improving equitable...

D.W.ele, C.; Baudonniere, P.M.; Lepecq, J.C.; B.H.y,; Vidal, P.P., 2001: Vestibular projections in the human cortex. There is considerable evidence from studies on cats and monkeys that several cortical areas such as area 2v at the tip of the intraparietal sulcus, area 3av in the sulcus centralis, the parietoinsular vestibular cortex adjacent to the posterior in...

Beruete, E.; Arbea, JI.; Jordana, R., 2001: New cave species of genus Onychiurus of the group of O boneti Gisin, 1953 Collembola Onychiuridae from the karst of Navarra and Gipuzkoa Spain Nuevas especies cavernicolas del genero Onychiurus del grupo de O boneti Gisin, 1953 Collembola Onychiuridae del karst de Navarra y Gipuzkoa Espana. Eight new species of Onychiurus related with O. boneti are described: O. aralarensis n. sp., O. galani n. sp., O. leitzaensis n. sp., O. labainensis n. sp., O. zalbidensis n. sp., O. doneztebensis n. sp., O. harrobiensis n. sp. and O. ameskoanus n...

Harkness Robert B., 1935: Natural-gas fields of Ontario. Pan-American Geologist Pages 59-87