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Tuberculum sellae meningioma

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Visual deterioration.

Patient Data

Age: 30 years
Gender: Female
mri

A vividly enhancing mass, separate to the pituitary gland, arises from the tuberculum sellae. It severely elevates and stretches the optic chiasm, pushing the right optic nerve superolaterally and the left optic nerve inferolaterally. It appears quite vascular. Appearances are those of a meningioma. 

Case Discussion

This mass was resected via an endoscopic endonasal approach and the diagnosis of meningioma was confirmed histologically.

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