1 / 12

Large Frontal Meningioma with Mass Effect and Increased Intracranial Pressure

Large Frontal Meningioma with Mass Effect and Increased Intracranial Pressure. Rabih Hage , MD Valérie Biousse , MD. 41-year-old man 3 month history of unusual headaches and progressive vision loss in both eyes ( visual acuity limited to light perception OD and 20/60 OS).

carol
Download Presentation

Large Frontal Meningioma with Mass Effect and Increased Intracranial Pressure

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Large Frontal Meningiomawith Mass Effect and IncreasedIntracranial Pressure Rabih Hage, MD Valérie Biousse, MD

  2. 41-year-old man • 3 monthhistory of unusualheadachesand progressive vision loss in botheyes(visualacuitylimitedto light perception OD and 20/60 OS)

  3. Goldmann Visual Field Lefteye Figure 1 In the right eye, therewas no response to the V4e. The visualfieldisseverelyconstricted in the lefteye.

  4. Fundus Photographs Right eye Lefteye Bilateraloptic nerve edema consistent withchronicpapilledema , withsecondaryopticatrophy in the right eye (the right optic nerve isalready pale) Figure 2

  5. Fundus Photographs Right eye Lefteye Water marks temporal to the swollen discs Figure 3

  6. T1-Weighted Brain MRI(withoutcontrast) Axial Sagittal Figure 4 Large intracranial mass (arrows) with mass effect on the right frontal lobe

  7. T1-Weighted Brain MRI(withoutcontrast) Figure 5 T1-isointense extra-axial mass with mass effect on the right frontal lobe

  8. T1-Weighted Brain MRI(withoutcontrast) Figure 6 The mass effectisresponsible for right-to-leftfalcineherniation

  9. T2-Spin Echo WeightedBrainMRI Figure 7 Areas of T2 hyperintensitywithin the mass (arrow) suggestnecrosis or cystic changes

  10. FLAIR Axial BrainMRI Figure 8 Severecerebraledema adjacent to the mass

  11. T1-Weighted Brain MRI(withcontrast) Axial Coronal Sagittal Figure 9 Homogeneousenhancementof the extracranialmass aftercontrast administration, consistent with a meningioma

  12. Final Diagnosis Large right frontal meningiomapresentingwithraisedintracranialpressure. The papilledemahad been unrecognized for a few weeks and the diagnosiswasonly made at the stage of secondaryopticatrophywithirreversible, severevisualloss.

More Related