Meningioma - planum sphenoidale

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Visual loss.

Patient Data

Age: 60 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

MRI brain.

mri

A sizable extra-axial mass is located on the planum sphenoidale and involves the pituitary fossa. A prominent dural tail is present anteriorly and laterally. In encases both ACA and ICA without significant stenosis. The mass also elevates the optic chiasm particularly on the left. 

Case Discussion

Typical features of a planum sphenoidale meningioma which was later confirmed on resection. 

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