Meningioma - planum sphenoidale

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Headaches.

Patient Data

Age: 40 years
Gender: Female

Well-circumscribed extra-axial dural-based mass measuring 15 x 13 x 8 mm, arising from the planum sphenoidale displacing the optic chiasma superiorly with mild extension to the anterior aspect of the pituitary fossa. It displays an isosignal to the cortical grey matter on T1, T2, and FLAIR with vivid homogeneous enhancement, and dural tail sign on postcontrast sequences.

Case Discussion

MRI features most consistent with a planum sphenoidale meningioma.

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