Intraventricular meningioma

Case contributed by Mustafa Takesh
Diagnosis almost certain

Presentation

Balance disorder for 3-4 months, decreased strength of right lower limb, to rule out multiple sclerosis?

Patient Data

Age: 60 years
Gender: Male
mri

Selected MRI images showing an avidly enhancing lobulated intraventricular mass centered in the atrium of the left lateral ventricle with obstructive hydrocephalus of the temporal horn. There are scattered foci of blooming in keeping with calcifications.

Post-operative scan

mri

Selected MRI images demonstrating expected postoperative changes after recent resection of left ventricular mass.

Case Discussion

Classic radiological features and location of intraventricular meningioma. We notice scattered foci of blooming in keeping with calcification, which occurs more frequently than in extra-axial meningiomas. The diagnosis was histologically proven (meningioma grade I).

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