Presentation
History of headache and neck pain.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
At the foramen magnum anteriorly, there is an extra-axial mass with low signal intensity on T1 weighted images and mildly hyperintense on T2/FLAIR weighted images. The mass reveals homogeneous enhancement on post-contrast injection with dural tail. There is significant mass effect and compression of the medullo-cervical region posteriorly. No hydrocephalus is seen.
Case Discussion
Findings are in line with an extra-axial dural-based mass, which is most likely a meningioma. The location within the foramen magnum resulted in early compression of the adjacent brainstem.