Meningioma Symptoms: Headache, Seizures, Vision Changes, Weakness, Cognitive Shifts

Common Presenting Signs

• Headache (often progressive, morning-predominant)
• Seizures (focal or generalized; ~25–40% at presentation)
• Visual disturbances (field cuts, diplopia, acuity loss)
• Hearing loss or tinnitus (petroclival tumors)
• Focal weakness/numbness (motor/sensory cortex compression)
• Gait imbalance, ataxia (cerebellar compression)
• Speech/swallowing difficulty (brainstem/cranial nerve involvement)
• Cognitive/personality changes (frontal lobe)
• Memory loss, confusion

Context

Meningiomas are typically benign, slow-growing extra-axial tumors. Symptoms depend on location, size, and growth rate. Many are incidental findings. Definitive diagnosis: MRI with contrast; management: observation, radiosurgery, or resection.