Tentorial meningioma

Case contributed by Alain Michel Maldonado
Diagnosis almost certain

Presentation

Headache and motor visual disturbance.

Patient Data

Age: 55 years
Gender: Female
mri

Extra-axial left tentorial lesion, isointense to gray matter on T1 and T2 sequences, with intermediate signal on FLAIR. It contacts cranial nerves III, V and VI. Gadolinium enhancement of the lesion extends into a dural tail.

Case Discussion

Meningioma is a benign extra-axial tumor, usually asymptomatic depending on the size of the tumor and its location. Meningiomas uncommonly affect the cranial nerves. Those that are fast-growing require surgical treatment.

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