Presentation
Left side diplopia.
Patient Data
A well-defined extra-axial, avidly enhancing mass is noted to the left side of the clivus projecting into the left Meckel cave.
Another well-defined extra-axial mass with broad-based dural attachment is noted in the right temporal region along the right Sylvain fissure.
A partial empty sella is noted.
Case Discussion
The features are suggestive of meningioma along the left Meckel cave and right temporal region along the Sylvain fissure.
The patient underwent Gamma knife surgery for the lesion in the left Meckels cave and on follow-up imaging the lesion became very small in size and the symptoms resolved.
On-phone follow-up after 4 years, the patient did not have any symptoms.