Convexity cystic meningioma

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Convulsions. Headache.

Patient Data

Age: 60 years
Gender: Male
MRI

MRI brain

Large extra-axial mass with a broad dural base at the right temporoparietal region. It is homogeneous and well circumscribed. It is isointense to grey matter in T1, hyperintense in T2 and FLAIR. It exerts a mass effect in the form of compressing underlying brain parenchyma, right lateral ventricle, and midline shift to the right side and compression upon the right crus of the midbrain. It is associated with adjacent cystic lesion (trapped CSF) that shows free diffusion.

Case Discussion

Such imaging features are typical for convexity meningioma. The cystic lesion adjacent to the tumor mass can be considered as an arachnoid cyst between the meningioma and the brain following CSF intensities along all pulse sequences and so it is considered as a type 5 cystic meningioma. Also, it belongs to intracranial non-neoplastic tumor-associated cysts.

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Case information

rID: 42198
Case created: 10th Jan 2016
Last edited: 12th Nov 2017
Inclusion in quiz mode: Included

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