Concluded Case

Meningioma arising from Lt Tentorium cerebelli & Rt Parietal Convexity

New case . 76 yr ,M Known Diabetic, hypertensive, CAD - Post CABG ,on multiple drugs,presented with one episode of unprovoked , generalized tonic- clonic seizures on 26 of this month lasted for 3 mts. Denied having any post ictal symptoms. On exam fully concious ,communicating well,normal optic fundi ,intact cranial nerves with out any long tract signs.After MRI the patient is ref to Neurosurgeon Diagnosis?

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Thanks for all answere. DIAGNOSIS: Left Tentorial and Rt Parietal Meningioma. Surgery done for the left Tentorial meningioma .Pt is fine. MRI report: Well defind mass ,extra- axial, broad based against the antero medial aspect of tentorium cerebelli showing homogeneous intense enhancement. Perilesional vasogenic edema in the left subcortical and periventricular white matter extending to left parietal lobe,left external and internal capsules.Partial effacement of temporal & occipital horns of left lateral ventricle ,midline shift to rt 4.5 mm. Another smaller extra- axial lesion in the RT Parietal convexity showing similar enhancement
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New case
Thanks for all answere. DIAGNOSIS: Left Tentorial and Rt Parietal Meningioma. Surgery done for the left Tentorial meningioma .Pt is fine. MRI report: Well defind mass ,extra- axial, broad based against the antero medial aspect of tentorium cerebelli showing homogeneous intense enhancement. Perilesional vasogenic edema in the left subcortical and periventricular white matter extending to left parietal lobe,left external and internal capsules.Partial effacement of temporal & occipital horns of left lateral ventricle ,midline shift to rt 4.5 mm. Another smaller extra- axial lesion in the RT Parietal convexity showing similar enhancement
Tentorial leaf and convexity meningiomas.. unusual to have multiple... At 76, i would refrain from operating as patient is intact and seizures can be managed conservatively
Multicentric Meningioma in the right parietal region and left tentorial region with perilesional edema in the left temporal and occipital lobe .
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Bilateral temporal Dural meningioma.
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