Sphenoid wing meningioma

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Bowel and bladder disturbance. Head bobbing. Fine tremor. MS?

Patient Data

Age: 50 years
Gender: Female
mri

3.9 x 3.1 cm well-defined homogeneously enhancing mass centered on the left sphenoid wing. The component within the inferior temporal fossa exhibits a dural tail.

A small amount of tissue extends into the left side of the cavernous sinus and encircles the intracavernous ICA. This also abuts the proximal optic nerve just distal to the optic chiasm.

Small amount of peri-tumoral edema in the left inferior temporal lobe.

No significant mass effect.

Case Discussion

This left sphenoid wing meningioma was successfully operated on with non residual or recurrent meningioma at 6 month follow up.

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