Meningioma
The meningioma is usually a benign brain tumor that
comes from cells in the covering of the brain and spinal
cord. These tumors account for about 20% of all primary
brain tumors. They are most often seen in middle-aged
women. The vast majority of these brain tumors are benign,
however, they can be difficult to remove completely
and thus can recur. On rare occasions they can be malignant.
Meningiomas are usually single tumors but they can be
multiple.
Meningioma Symptoms
The symptoms of a meningioma depend upon the location
of the tumor. Headache, stroke-like symptoms, seizures,
loss of vision (particularly in one eye) and personality
changes are some of the symptoms seen with these tumors.
Meningioma Diagnosis
As always, a careful history and physical examination
are the first steps in diagnosis. These tumors tend
to have a fairly characteristic appearance on CT
or MRI scans, which
should be performed without and with intravenous contrast
enhancement. Sometimes an angiogram
(x-ray of the blood vessels) might be performed.
Meningioma Treatment
The treatment of these brain tumors depends on the
appearance of the tumor and the medical condition and
age of the patient. Surgery is the usual first approach.
As these brain tumors tend to compress rather than invade
the brain, complete removal is sometimes possible. Unfortunately,
even tumors that appear to have been completely removed
can, with time, recur. Occasionally, radiation
therapy or stereotactic
radiosurgery might be recommended for residual tumor.
Some tumors may be observed with serial CT or MRI scans
and some tumors might be treated with stereotactic radiosurgery
instead of open surgery. Malignant meningiomas should
have surgery followed by radiation therapy.
Call 1-800-411-CINN or the location
nearest you between 8 AM and 5:30 PM Central
Time, Monday through Friday to schedule an initial consultation
with a CINN
physician.
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