Headache and personality change.
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A very large vividly enhancing extra-axial mass is noted on the left with a oedema in the displaced adjacent brain. Superiorly it abuts the dura and has a dural tail. Two other similar but smaller lesions are also evident.
The patient went on to have a resection, confirming the diagnosis of a meningioma.
Frontal lobe tumours, and meningiomas, due to their slow growth, are probably the most frequent culprits of personality change due to tumour. They can grow to amazingly large sizes before becoming frankly symptomatic.