Sphenoid wing meningioma

Case contributed by Mostafa Elfeky , 24 Feb 2016
Diagnosis almost certain
Changed by Bruno Di Muzio, 26 Feb 2016

Updates to Case Attributes

Body was changed:

SphenoidThis case demonstrates strong radiological features in keeping with a sphenoid wing meningiomainvolves involving the region of the anterior clinoid, adjacent medial sphenoid wing, superior orbital fissure, and cavemouscavernous sinus.

It exhibits imaging criteria of usual meningioima, with possibility of atypical appearance and agressive behavior possibility as well.

It is classified into two types based on gross appearance; en-plaque and globoid meningiomas.

It exertsexerts a compressive effect on the adjacent skull foramina as compression on the optic nerve.

The tumor often encases the internal carotid and proximal middle and anterior cerebral arteries as well as the optic nerve and may compress or/and provoke edemaTumours in the temporal or frontal lobes.

En-plaque typethis region can slowly extend to the orbit resulting in slowly progressive proptosis and visual disturbance.

It is They are also associated with sphenoid wing hyperostosis in many cases.

  • -<p><strong>Sphenoid wing meningioma </strong>involves the region of the anterior clinoid, adjacent medial sphenoid wing, superior orbital fissure, and cavemous sinus.</p><p>It exhibits imaging criteria of usual meningioima, with possibility of atypical appearance and agressive behavior possibility as well.</p><p>It is classified into two types based on gross appearance; en-plaque and globoid meningiomas.</p><p>It exerts compressive effect on adjacent skull foramina as compression on optic nerve.</p><p>The tumor often encases the internal carotid and proximal middle and anterior cerebral arteries as well as the optic nerve and may compress or/and provoke edema in the temporal or frontal lobes.</p><p>En-plaque type can slowly extend to the orbit resulting in slowly progressive proptosis and visual disturbance.</p><p>It is associated with sphenoid wing hyperostosis in many cases.</p>
  • +<p>This case demonstrates strong radiological features in keeping with a sphenoid wing <a title="Meningioma" href="/articles/meningioma">meningioma</a> involving the region of the anterior clinoid, adjacent medial sphenoid wing, superior orbital fissure, and cavernous sinus.</p><p>It exerts a compressive effect on the adjacent skull foramina as compression on the optic nerve.</p><p>Tumours in this region can slowly extend to the orbit resulting in slowly progressive proptosis and visual disturbance. They are also associated with sphenoid wing hyperostosis in many cases.</p>

Updates to Study Attributes

Findings was changed:

A sizable extra-axial mass noted:

o   measuring

  • measuring 2.9 x 3.7 x 4.3 cm at its largest dimensions

o   lying

  • lying
  • upon the right sphenoid ridge

    o   displayed

  • displayed
  • well-defined outlines and homogeneous T2/T1 isointense matrix to the brain

    o   it

  • it
  • shows intense post contrast enhancement as well as enhancing dural tail

    o   it is

  • it is
  • abutting the sphenoorbital fissure

    o   Mild

  • mild
  • mass effect upon the right temporal lobe with no perifocal edema

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