Large frontal meningioma with mass effect and increased intracranial pressure
Download
1 / 12

Large Frontal Meningioma with Mass Effect and Increased Intracranial Pressure - PowerPoint PPT Presentation


  • 293 Views
  • Uploaded on

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).

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Large Frontal Meningioma with Mass Effect and Increased Intracranial Pressure' - carol


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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Large frontal meningioma with mass effect and increased intracranial pressure

Large Frontal Meningiomawith Mass Effect and IncreasedIntracranial Pressure

Rabih Hage, MD

Valérie Biousse, MD


  • 41-year-old man

  • 3 monthhistory of unusualheadachesand progressive vision loss in botheyes(visualacuitylimitedto light perception OD and 20/60 OS)


Goldmann visual field
Goldmann Visual Field

Lefteye

Figure 1

In the right eye, therewas no response to the V4e. The visualfieldisseverelyconstricted in the lefteye.


Fundus photographs
Fundus Photographs

Right eye

Lefteye

Bilateraloptic nerve edema consistent withchronicpapilledema , withsecondaryopticatrophy in the right eye (the right optic nerve isalready pale)

Figure 2


Fundus photographs1
Fundus Photographs

Right eye

Lefteye

Water marks temporal to the swollen discs

Figure 3


T1 weighted brain mri without contrast
T1-Weighted Brain MRI(withoutcontrast)

Axial

Sagittal

Figure 4

Large intracranial mass (arrows) with mass effect on the right frontal lobe


T1-Weighted Brain MRI(withoutcontrast)

Figure 5

T1-isointense extra-axial mass with mass effect on the right frontal lobe


T1 weighted brain mri without contrast1
T1-Weighted Brain MRI(withoutcontrast)

Figure 6

The mass effectisresponsible for right-to-leftfalcineherniation


T2 spin echo weighted brain mri
T2-Spin Echo WeightedBrainMRI

Figure 7

Areas of T2 hyperintensitywithin the mass (arrow) suggestnecrosis or cystic changes


Flair axial brain mri
FLAIR Axial BrainMRI

Figure 8

Severecerebraledema adjacent to the mass


T1 weighted brain mri with contrast
T1-Weighted Brain MRI(withcontrast)

Axial

Coronal

Sagittal

Figure 9

Homogeneousenhancementof the extracranialmass aftercontrast administration, consistent with a meningioma


Final diagnosis
Final Diagnosis

Large right frontal meningiomapresentingwithraisedintracranialpressure.

The papilledemahad been unrecognized for a few weeks and the diagnosiswasonly made at the stage of secondaryopticatrophywithirreversible, severevisualloss.


ad