Sphenoid ridge meningioma

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Headache and blurring of vision

Patient Data

Age: 45 years old
Gender: Female
mri

Left sphenoidal wing extra axial durally based mass. It indents the medial aspect of the left temporal lobe and left lateral aspect of the pons and encroaches upon the left inferior orbital fissure resulting in mild left proptosis. It exhibits iso signal in T1, bright signal in T2 and FLAIR and intense homogeneous enhancement after post contrast study with typical dural tail sign.

Case Discussion

Typical appearance of a sphenoid ridge meningioma with with extension into the cavernous sinus and pituitary fossa. 

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