Presentation
Attended for follow up post neurosurgery. This is the pre-operative scan.
Patient Data
Age: 55 years
Gender: Male
From the case:
Spoke-wheel sign - meningioma
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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.