Planum sphenoidale meningioma

Case contributed by Ian Bickle
Diagnosis probable

Presentation

Visual field disturbance. CT reportedly performed elsewhere.

Patient Data

Age: 50 years
Gender: Female
mri

Well defined T1 isointense and T2 mildly hyperintense, homogeneously avidly enhancing mass arising from the planum sphenoidale.

A dural tail is evident.

The pituitary gland is evident beneath the mass.

Case Discussion

Meningiomas are the most common extra-axial tumors of the central nervous system. They are a non-glial neoplasm that originates from the arachnoid cap cells of the meninges and are typically benign with a low recurrence rate, but rarely can be malignant.

Meningiomas occur in a magnitude of locations, one of the less common places being the planum sphenoidale. Presentation is often due to symptoms from mass effect or incidental.

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