IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Meningioma: cavernous sinus

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Headache

Patient Data

Age: 55 years
mri

A large vividly enhancing extra-axial mass centered on the right cavernous sinus is present, narrowing but not occluding the right internal cerebral artery. It extends posteriorly along the tentorium and into the posterior fossa and Meckel's cave. It is consistent with a meningioma. 

Case Discussion

The patient went on to have surgery.

Histology:

MICROSCOPIC DESCRIPTION: Paraffin sections show a moderately hypercellular meningioma. This has a mixed syncytial/fibroblastic architecture. Tumor cells show mild nuclear and cellular pleomorphism. No mitotic figures or areas of necrosis are identified and there is no evidence of brain invasion. Broad dural attachment is noted.

FINAL DIAGNOSIS: Meningioma (WHO Grade I)

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.