En plaque meningioma - sphenoid wing

Case contributed by Dr Ahmed Abdrabou


Headache and blurring of vision.

Patient Data

Age: 45 years
Gender: Female

The patient had unilateral proptosis

Left sphenoidal wing intraosseous expansile lesion display low signal in all pulse sequence with underlying meningeal enhancement in post contrast study and associated ipsilateral proptosis.

Right caudate nucleus old lacunar infarction.

Diagnosis: Meningioma en plaque (MRI features)

Case Discussion

It is important to note that this case illustrates an intradural meningioma with intraosseous bone extension and not a primary extradural meningioma. 

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Case information

rID: 22624
Published: 12th Apr 2013
Last edited: 24th Dec 2019
Inclusion in quiz mode: Included

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