Giant frontal lobe meningioma.

A 90-year-old woman presented with gradual onset of generalized weakness, imbalance, urinary incontinence, progressive impairment of memory, and deviant sexual behavior. The Reversed Hasegawa's Dementia Scale, a brief cognitive scale, was 13 (dementia cutoff point of 21/20).

A 90‐year‐old woman presented with a 2‐month history of gradually progressive generalized weakness, imbalance, urinary incontinence, progressive impairment of memory, and deviant sexual behavior. The Reversed Hasegawa's Dementia Scale, a brief cognitive scale, was 13 (dementia cutoff point of 21/20). Neurological physical examination revealed no neurological deficit. Magnetic resonance imaging of the brain revealed a frontal lobe extra‐axial giant lesion with well‐defined limits (65 × 45 mm) suggestive of cerebral falx meningioma (Figures 1 and 2).

FIGURE 1

MRI of the brain (axial) revealed a frontal lobe extra‐axial giant lesion with well‐defined limits (65 × 45 mm) suggestive of cerebral falx meningioma

FIGURE 2

MRI of the brain (sagittal)

Meningiomas are the most common meningeal tumors and represent more than 20% of all intracranial tumors. Meningiomas can be found in all locations but 60% of meningiomas are either parasagittal (inserted on the falx) or located on the convexity. Signs and symptoms of a meningioma typically occur gradually. The symptoms of meningiomas include headache, dementia, mental status changes, loss of bladder control, and paresis although many cases are siglent. , When meningiomas are slow growing and located in the anterior frontal region, the diagnosis is frequently delayed. Clinicians must be aware of frontal lobe tumor when cognitive decline and personality change were recognized.

CONFLICT OF INTEREST

The other authors have stated explicitly that there are no conflicts of interest in connection with this article.

AUTHOR CONTRIBUTION

All authors had access to the data and a role in writing the manuscript.

INFORMED CONSENT

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