Medial tentorial meningioma with supratentorial extension

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Right sided weakness and facial pain

Patient Data

Age: 40 years
Gender: Male

Well defined extra-axial lesion along superomedial aspect of right tentorium cerebella with supratentorial extension. The lesion is compressing brainstem, right medial temporal lobe, superior aspect of 4th ventricle and indenting trigeminal nerve. No extension is seen into the Meckel's cave.

No obvious hydrocephalus seen.

Case Discussion

Findings are suggestive of a medial tentorial meningioma with supratentorial extension.

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