Can a 1.1 cm calcified meningioma in the left frontal area cause symptoms of cold sensation, similar to brain freeze, on the right frontal area radiating to the temporal area?

From the Guidelines

A calcified meningioma of 1.1 cm in the left frontal area can potentially cause symptoms like cold sensations or "brain freeze" feelings on the right frontal area radiating to the temporal region due to its possible irritation or compression of nearby neural structures, despite its small size. This phenomenon is explained by the principle of contralateral innervation, where each brain hemisphere controls sensation on the opposite side of the body 1. The symptoms might result from the tumor affecting sensory pathways or irritating the trigeminal nerve branches that supply these areas.

Key points to consider in this scenario include:

• The size of the meningioma, which is less than 30 mm, categorizes it as small according to the guidelines provided by the Journal of the National Comprehensive Cancer Network 1.
• The management of small, symptomatic meningiomas, as suggested, includes surgery if accessible, followed by radiation therapy (RT) if the meningioma is of a higher WHO grade, such as grade 3c, or if there are potential neurologic consequences 1.
• The decision to observe or surgically intervene depends on factors such as symptom severity, tumor location, accessibility for surgery, and the patient's overall health status.
• Given the potential for even small, calcified meningiomas to cause significant symptoms through pressure effects, inflammation, or minor seizure activity, medical attention is warranted for persistent or bothersome symptoms.

Considering the potential impact on morbidity, mortality, and quality of life, it is crucial for individuals experiencing such symptoms to consult a neurosurgeon or neurologist for a thorough evaluation and to discuss appropriate management options. This approach ensures that the chosen treatment plan prioritizes the patient's well-being and minimizes potential complications, aligning with the principles outlined in the provided evidence 1.

From the Research

Symptoms of Calcified Meningioma

• The provided studies do not directly address the specific symptoms of a calcified meningioma of 1.1 cm in the left frontal area causing cold sensations like brain freeze on the right frontal area radiating to the temporal area 2, 3, 4, 5, 6.
• However, it is known that meningiomas can cause various symptoms depending on their location, size, and grade 2, 4.
• The studies suggest that meningiomas can be asymptomatic or cause symptoms such as numbness, weakness, and pain, especially if they are located in areas that compress or invade surrounding structures 3, 5.

Location and Size of Meningioma

• The location of the meningioma in the left frontal area may not directly correlate with symptoms on the right frontal area, as the brain's anatomy and functional areas can be complex and variable 3, 6.
• The size of the meningioma (1.1 cm) is relatively small, and it is possible that it may not be causing significant symptoms or compression on surrounding structures 2, 4.
• However, the calcification of the meningioma may be a factor in its symptomatology, as calcified meningiomas can be more likely to cause symptoms due to their density and potential for compression or irritation of surrounding tissues 5.

Diagnosis and Management

• The diagnosis of meningioma is typically made using imaging techniques such as CT or MRI, which can provide detailed information about the tumor's location, size, and characteristics 3, 4.
• The management of meningioma depends on various factors, including the tumor's location, size, grade, and symptomatology, as well as the patient's overall health and preferences 2, 6.
• Treatment options for meningioma may include observation, surgery, radiation therapy, or a combination of these approaches, depending on the individual case 2, 4, 6.