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 give rise to similar tumors (eg, hemangiopericytomas or sarcomas). The classification of all of these tumors together is controversial. Nursing Management 3
The current trend is to separate unequivocal meningiomas from other less well-defined neoplasms. Undoubtedly, advances in molecular biology will allow scientists to determine the exact genomic aberration responsible for each specific neoplasm. Parasagittal meningioma causes symptoms like: Headache that is due to the increase the normal pressure levels within the brain. The severity of headache pain can range from mild to severe and can localize within any region of the head. Leg weakness can also occur. Typically, a meningioma that forms on the left side of the falx causes right leg weakness, while a meningioma that forms on the right side of the falx causes left leg weakness, explain medical experts with the Merck Manual. In certain cases, sensations of weakness can affect both legs and can experience difficulty standing or walking normally. Vision Problems is also present because of increased pressure within the brain it can affect the optic or eye nerve. If the optic nerve is damaged or pinched, he or she can develop vision problems as a symptom of this condition, report health experts with the Mayfield Clinic. Affected people can experience blurred or cloudy vision, which may contribute to headache symptoms or sensations of dizziness. Cognitive dysfunction or Personality Changes may affect people as stated by professionals with the Brain Science Foundation. A person who is normally quiet or reserved can suddenly become talkative and outgoing. Alternatively, social people may appear abruptly withdrawn or depressed. Some of these are signs and symptoms manifested by P.A. that can lead him to be diagnosed to have Parasagittal meningioma.
Nursing Management 4
P.A., a 41 years old male was complaining of headache and some episodes of dizziness. He was admitted and diagnosed to have Parasagital...