Left sphenoid wing meningioma

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Progressive headache, blurring of vision, dizziness.

Patient Data

Age: 55 years
Gender: Female
mri

A fairly well-defined intensely enhancing extra-axial lesion suggestive of meningioma is noted involving the left sphenoid wing, extending superiorly into the left middle and anterior cranial fossa with mass effect, displacing the adjacent frontotemporal lobes, causing extensive white matter edema. There is a dural tail sign.

Case Discussion

Surgery is the treatment of choice for this meningioma as there is significant mass effect and midline shift. If there is incomplete resection of the lesion, then external-beam radiation therapy can be used.

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