Spoke-wheel sign - meningioma

Case contributed by Dr Ian Bickle


Attended for follow up post neurosurgery. This is the pre-operative scan.

Patient Data

Age: 54
Gender: Male

Large right extra-axial frontal lobe mass extending to the sphenoid wing, with avid enhancement.   Vessels radiate towards a center point in a spoke-wheel fashion.

Marked mass effect with ventricular effacement and displacement, with buckling of the white matter.


Case Discussion

This was a pre-operative scan of a subsequently operated and biopsy proven meningioma.

Nice example of the spoke wheel appearance and white matter buckling signs in a case of a large meningioma.


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Case information

rID: 43361
Published: 17th Mar 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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