Use the form below to search the Health Library.

  
 Health Information  Health Articles  Any
http://search.ebscohost.com/login.aspx?direct=true&db=hlt&AN=2010815190&site=ehost-live

Meningioma

  • Definition

    The meninges are a protective lining around the brain and spinal cord. A meningioma is a tumor of these linings. Most meningiomas do not cause symptoms. But, if the meningioma grows, it can push on important parts of the brain. These tumors may be grade I, II, or III.
    Grade III is the most aggressive type. Malignant meningiomas, also called anaplastic, are less common. These tumors are faster growing and very likely to return.
    Meningioma
    Nucleus factsheet image
    Copyright © Nucleus Medical Media, Inc.
  • Causes

    The exact cause of meningiomas is unknown. Factors that may be associated with these tumors include:
    • Genetic factors
    • Certain hormones
  • Risk Factors

    Factors that may increase the risk of meningioma include:
    • Sex: twice as common in women than men
    • Age: 40-70
    • History of breast cancer or sarcoma, as part of the Li-Fraumeni syndrome
    • A diagnosis of neurofibromatosis type 2 (NF2)
    • Radiation exposure, especially to the head
  • Symptoms

    Symptoms of meningioma are usually related to the area of the brain that is affected. Symptoms can also be due to an increase in the pressure inside the skull. Symptoms may include:
    • Headaches
    • Vomiting
    • Double vision
    • Slurred speech
    • Changes in behavior
    • Seizures
    • Loss of sensation or weakness in the arms and legs
    • Loss of bladder or bowel control
    • Language deficits
    • Difficulty with learned movements
    • Loss of coordination
    • Difficulty writing
    • Intellectual difficulty
  • Diagnosis

    You will be asked about your symptoms and medical history. A physical exam will be done. You will have a neurologic examination.
    Images of your head may need to be taken. This can be done with:
    Your brain activity may need to be measured. This can be done with an electroencephalogram (EEG) .
    MRI of Meningioma in the Brain
    Meningioma MRI
    Copyright © Nucleus Medical Media, Inc.
  • Treatment

    Treatment will depend on the size and location of the tumor, its rate of growth, and your general health. The main types of treatment for meningiomas are:
    Surgery
    Surgery may be recommended if the tumor is located in an area that is easily reached. Most surgeries can be done without causing neurologic damage.
    Embolization
    Tumors need blood flow to survive. In some instances, prior to surgery, a catheter may be inserted into blood vessels supplying the tumor. It will disrupt the flow of blood to the tumor. This will make the tumor shrink. The smaller tumor can then be removed with surgery.
    Radiation Therapy
    Radiation therapy is used either on its own or after surgery has been done.
    Some tumors may be located in an area that is difficult or too dangerous to operate on. Radiation may be used on its own if the tumor is causing symptoms and cannot be removed with surgery. Radiation therapy is an effective way of treating the tumor and stopping its growth.
    If the tumor is a higher grade, radiation is generally considered. In this case, radiation may be given either on its own or after surgery to help prevent the tumor from coming back.
    Your radiation oncologist will describe how the therapy is delivered and how many treatments are needed. You may receive 25-40 treatments on a daily basis, or fewer treatments if you are having stereotactic radiosurgery. This type of surgery delivers higher doses of radiation during each treatment.
    Chemotherapy
    Chemotherapy is used only after other treatment methods have failed. Your oncologist will discuss the options and choice of medications.
  • Prevention

    There are no guidelines for the prevention of meningiomas.
  • RESOURCES

    National Brain Tumor Society http://braintumor.org

    National Cancer Institute http://www.cancer.gov

    CANADIAN RESOURCES

    Brain Canada http://www.braincanada.ca

    Brain Tumor Foundation of Canada http://www.braintumour.ca

    References

    Keller A, Ludwig N, Comtesse N, et al. H-P A minimally invasive multiple marker approach allows highly efficient detection of meningioma tumors. BMC Bioinformatics. 2006,7:539

    Meningioma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 2, 2013. Accessed February 13, 2014.

    Meningioma. International Radiosurgery Association website. Available at: http://www.irsa.org/meningioma.html. Accessed February 13, 2013.

    Revision Information

  • Connect with Steward

    Visit Our Twitter Feed Visit Our Facebook Page Email This Page Print This Page

    Subscribe to our patient e-newsletter

    Copyright © 2014 Steward Health Care
    Connect Healthcare Panacea CMS Solutions