Giant arachnoid granulation

Case contributed by Professor Ali Hekmatnia

Presentation

Headache

Patient Data

Age: 70 Years
Gender: Female
MRI

MRI demonstrating multiple giant arachnoid granulations in the posterior fossa.

Case Discussion

Incidental giant arachnoid granulations, appearing as osteolytic, sharply circumscribed CSF-containing intradiploic cystic spaces with smooth bone remodelling.

They may fill the lumen of the dural sinus and can cause symptoms due to sinus obstruction leading to venous hypertension. They should not be misdiagnosed as extra-axial lesions or dural venous sinus thrombosis.

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Case information

rID: 66841
Published: 7th Mar 2019
Last edited: 8th Mar 2019
Inclusion in quiz mode: Included
Institution: Isfahan University of Medical Sciences

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