Concluded Case

Extra axial Large Rt posterior fossa dural based mass - MENINGIOMA

New Case. 58 yr ,F, No known comorbidities, presented with feeling of unsteadiness since 1yr,facial numbness left side since 1yr. The husband and daughter noted defective clarity of speech with difficulty to get the correct words times.Since 3 months she has memory problem in the form of difficulty to put correct ingredients in the Disch she is prepairing,misplacing things,difficulty to accept the real events.Denied having head ache,vertigo ,lossof conciousness,motor weakness. on exam BP 120/ 80 mmhg .Optic fundi normal.Dulling of sensation lt sided face. no nystagmus Mild finger nose incordination rt side.random walking normal with mild difficulty in tandom walking ,tendencyt to sway to rt side. Diagnosis & management

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Concluded answer
Thanks Curofy and all Doctors who answered the case.Corret answeres given by DrDalal, Dr Anand DrBupesh. For others ,you go through once again the film with report, very easy to diagnosis meningioma MRI report: A large extraaxial dural based well defind T2 intermediate, FLAIR hyperintense,T1 iso to hyperintense lesion noted in the Rt posterior fossa.The lesion has a broad base to the tentorium separating occiput posteriorly.A well defind CSF cleft is noted around the lesion.The lesion is causing mass effect in the form of compressed bilateral cerebellar hemisphere's Rt > Lt,vermis,Pnos Midbrain & Medulla.There is ,compression & effacement of 4th ventricle, prepontine,premedullary & perimesencephalic cisterns.Lesion is attached to the tentorium on the Rtside .A thin dural tail along the Rt transverse & straight sinus dura.Post contrast images shows near homogeneous enhancement of lesion with multiple flow voids.Bilateral lateral ventricles are dialated Rt > Lt Impression-Tentoria
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Thanks Curofy and all Doctors who answered the case.Corret answeres given by DrDalal, Dr Anand DrBupesh. For others ,you go through once again the film with report, very easy to diagnosis meningioma MRI report: A large extraaxial dural based well defind T2 intermediate, FLAIR hyperintense,T1 iso to hyperintense lesion noted in the Rt posterior fossa.The lesion has a broad base to the tentorium separating occiput posteriorly.A well defind CSF cleft is noted around the lesion.The lesion is causing mass effect in the form of compressed bilateral cerebellar hemisphere's Rt > Lt,vermis,Pnos Midbrain & Medulla.There is ,compression & effacement of 4th ventricle, prepontine,premedullary & perimesencephalic cisterns.Lesion is attached to the tentorium on the Rtside .A thin dural tail along the Rt transverse & straight sinus dura.Post contrast images shows near homogeneous enhancement of lesion with multiple flow voids.Bilateral lateral ventricles are dialated Rt > Lt Impression-Tentoria
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Significant meningioma ma'am need neurosurgeon's opinion
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
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