Sphenoid wing meningioma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Headaches.

Patient Data

Age: 55 years
Gender: Female
mri

A 10*20*25 mm well-defined extra-axial dural-based lesion that is related to the right lesser wing of the sphenoid bone and displays intermediate signal intensity on T1 and T2 with strong enhancement after contrast administration.

High signal foci in T2 and flair sequences at subcortical and periventricular white matter of both cerebral hemispheres depicts microvascular ischemic events.

Case Discussion

The sphenoid wing is a relatively common site for meningioma. The imaging features are in keeping with a meningioma without a considerable mass effect.

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