Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026
Serial neuropsychological assessment of multiple meningioma complicated by psychosis following ventriculoperitoneal shunt revision: a case report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Grewal Karl S, Earle Caitlin A, Buller Mark, Marsters Candace
Аннотация
OBJECTIVE: Meningiomas are a common primary central nervous system tumor, with patients often found to have cognitive problems both pre- and post-operatively. In addition, meningiomas can have psychiatric manifestations including associated psychotic disturbances. To our knowledge, however, this is the first report of psychosis emerging following ventriculoperitoneal (VP) shunt revision in menigioma.
METHOD: The current study presents Ms. M, a right-handed female in her early 40s, with a university education, who was diagnosed with multiple meningioma in 2014. She developed psychotic symptoms following left VP shunt revision in 2024. Ms. M was assessed by neuropsychology 5 times over a period of 10 years and entered the care of neuropsychiatry around the time of her most recent assessment. Case description integrates both neuropsychological and neuropsychiatric perspectives. To assist in quantifying neuropsychological change over time, reliable change methods were used alongside clinical inspection.
RESULTS: Ms. M's neuropsychological profile showed multidomain impairment over many years. Memory was her most striking across several assessments. Following psychosis onset, she reported increased difficulty with daily functioning and managing her cognitive issues, consistent with executive decrements diminishing compensatory abilities.
CONCLUSIONS: The current study contributes to the growing body of literature examining neuropsychological deficits in meningioma through the addition of longitudinal data at the case level, critical given that long-term cognitive deficits can be detrimental to quality of life over time. In addition, description of post-revision psychosis constitutes a previously undescribed post-surgical development. The integration of the neuropsychiatric perspective also underscores the importance of interdisciplinary care, particularly in atypical presentations.
METHOD: The current study presents Ms. M, a right-handed female in her early 40s, with a university education, who was diagnosed with multiple meningioma in 2014. She developed psychotic symptoms following left VP shunt revision in 2024. Ms. M was assessed by neuropsychology 5 times over a period of 10 years and entered the care of neuropsychiatry around the time of her most recent assessment. Case description integrates both neuropsychological and neuropsychiatric perspectives. To assist in quantifying neuropsychological change over time, reliable change methods were used alongside clinical inspection.
RESULTS: Ms. M's neuropsychological profile showed multidomain impairment over many years. Memory was her most striking across several assessments. Following psychosis onset, she reported increased difficulty with daily functioning and managing her cognitive issues, consistent with executive decrements diminishing compensatory abilities.
CONCLUSIONS: The current study contributes to the growing body of literature examining neuropsychological deficits in meningioma through the addition of longitudinal data at the case level, critical given that long-term cognitive deficits can be detrimental to quality of life over time. In addition, description of post-revision psychosis constitutes a previously undescribed post-surgical development. The integration of the neuropsychiatric perspective also underscores the importance of interdisciplinary care, particularly in atypical presentations.