PARASAGITTAL MENINGIOMA
Nursing management of a patient with Parasagittal Meningioma
Nursing Management 2
Nursing management of patient with PARASAGITTAL MENINGIOMA
P.A a 41 years old male was brought to the hospital due to the chief complaint of headache and dizziness. During the interview, the patient stated that 2 days prior to admission, he was having a severe headache associated with blurring of vision and dizziness. He took paracetamol which provided temporary relief without any consultation done. He was prompted to seek medical attention on March 23, 2011 due to persistent headache. He underwent MRI scan and revealed that the left part of his brain have a tumor that can lead him to be diagnosed with other signs and symptoms of having a Parasagittal Meningioma. According to Dienpenbrock (2004), Meningiomas are slow-growing and most often occur in middle aged adults. The standard treatment is surgery with the complete removal or partial dissection. Nursing management should focus on the treatment and preventing the effect of increased intracranial pressure or ICP by closed monitoring vital signs, and motor functions should also be checked because specific motor deficits may occur depending on the tumor’s location.
Pathophysiology
Parasagittal meningiomas form near the falx, a groove that runs along the brain fromfront to back, according to medical experts at the Brigham and Women 's Hospital. Meningiomas may occur intracranially or within the spinal canal. They are thought to arise from arachnoidal cap cells, which reside in the arachnoid layer covering the surface of the brain. Meningiomas commonly are found at the surface of the brain, either over the convexity or at the skull base. In rare cases, meningiomas occur in an intraventricular or intraosseous location. The problem of classifying meningioma is that arachnoidal cells may express both mesenchymal and epithelial characteristics. Other mesodermal structures also may
References: * Smeltzer, Bare, Hinkle, Cheever (2008). Medical Surgical. Brunner and Suddarth’s (Eleventh Edition). Pages 2302-2306. * Mayfield Clinic: Meningiomas * Brigham and Women 's Hospital: Meningioma * Brain Science Foundation: Meningiomas * Merck Manual: Meningiomas * Meningiomas.org: Parasagittal Meningiomas