Background: Brain tumors often go unnoticed in psychiatry population. Often the tumors remain silent before they present as behavioral changes or neurological signs. Brain tumors often present with psychiatric symptoms such as mood changes (depression or mania), psychotic symptoms, panic attacks, and changes in personality, or memory difficulties. The mengiomas of brain are often silent because of their slow growth.Methods: We present a case of an elderly female who presented with psychotic symptoms and gait disturbances. On evaluation she was diagnosed as a case of frontal meningioma. A case study was prepared and analyzed and a brief review of literature was done using keywords neuropsychiatric aspects of brain tumours, meningioma and psychosis. Results and Conclusions: There is a need to assess in detail elderly patients who present with psychiatric symptoms in an old age and neuroimaging must be done when patient presents with psychiatric symptoms and specific CNS signs.