Presentation
Headaches with visual disturbances.
Patient Data
Age: 35 years
Gender: Female
From the case:
Tuberculum sellae meningioma
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Well-circumscribed extra-axial sellar and suprasellar mass centered on the tuberculum sellae. It elicits an isosignal to the cortical grey matter on T1 and T2 and slight high signal on FLAIR with intense and homogeneous enhancement on post contrast sequences with a dual tail sign. The suprasellar component compresses the optic chiasma. Mild extension along the intracranial segment of the optic nerves is noted well-demonstrated on enhanced axial T1.
The pituitary gland is well-visualized on enhanced sagittal and coronal T1 sequences.
Case Discussion
MRI features most consistent with a tuberculum sellae meningioma.
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