Left Planum Sphenoidale Transitional
Meningioma -Simpson Grade-1
Published: September 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/43495.14005
Jerrine Joseph
, C Emmanuel
, Arumugam Suresh
, Anand Parathasarthy
, Wilson Aruni
1. Scientist D and Head, Department of Centre for Drug Discovery and Development, Sathyabama Institute of Science and Technology, Chennai, Tamil Nadu, India.
2. Director, Department of Academics and Research, Gleneagles Global Hospital and Health City, Chennai, Tamil Nadu, India.
3. Scientist cum Research Coordinator, Department of Central Research Laboratory, Meenakshi Academy of Higher Education, Kanchipuram, Tamil Nadu, India.
4. Medical Director and Chief Surgeon, Department of Ophthalmology, Centre for Vision and Eye Surgery, Chennai, Tamil Nadu, India.
5. Pro Vice Chancellor, School of Medicine, Loma Linda University, USA, Sathyabama Institute of Science and Technology, Chennai, Tamil Nadu, India.
Correspondence
Wilson Aruni,
School of Medicine, Loma Linda University, USA, Sathyabama Institute of Science
and Technology, Rajiv Gandhi Road (OMR), Chennai, Tamil Nadu, India.
E-mail: drwilsonaruni@hotmail.com
Planum sphenoidale meningiomas are rare slow growing tumours that impair cognition and lead to behavioural changes. Other common presentations of this condition include persistent headache followed by vision diminution. Dismissing cognitive impairment and behavioural changes as part of dementia, depression or aging might lead to loss of opportunity to treatment. The common symptoms manifested in sphenoid (spheno-orbital) wing meningioma is bulging of the eyes which may be painless, visual impairment and ocular paresis. Headache is also a common symptom, in addition to ptosis. Variants of the clinical syndrome include the following: Eye swelling and hearing loss, optic atropy, Kennedy syndrome and mental changes. Patient had severe headache for which he went for the eye checkup, where the loss of vision in the left eye was confirmed, through the field test. The MRI confirmed the tumour presence. Though the diagnosis was informed it took one year to convince the patient for the surgery. Hence, the author wishes to emphasise the role of tumour support systems. Physician’s serve as patients’ first point of entry into the health care system and as the continuing focal point for all necessary health care services along with their team they play a vital role in convincing patients from postdiagnosis to surgery and recovery.
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