Tuberculum sellae meningioma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Visual disturbances.

Patient Data

Age: 40 years
Gender: Female
mri

Well-defined lobulated extra-axial sellar and suprasellar mass centered on the tuberculum sellae. It displays an isosignal to the cortical grey matter on T1 and T2 with a homogeneous enhancement on postcontrast sequences. The suprasellar component compresses the optic chiasma and encases partially the supraclinoid segment of both ICA (mainly on the left) which show reduced caliber on the MRA.

The pituitary gland is well-visualized on enhanced sagittal and coronal T1 sequences.

Case Discussion

MRI features most consistent with a tuberculum sellae meningioma compressing the optic chiasma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.