TIA in a 40 yr old F - MRI shows Primary intracranial extras
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Case Summary
A 40-year-old female who had a transient ischemic attack-like “spell” one Saturday sought medical attention the following Monday from her personal physician, who ordered a head MRI and a carotid ultrasound. Presumably, no CT scan of the head was obtained because she was asymptomatic at that point, and such an exam would have yielded little useful information. The MRI scan revealed a mass; upon consultation with the neurology team, it was believed that the mass was probably a meningioma and that the patient’s spell was likely a seizure caused by the mass. The options given to the patient were surgery or observation, and she decided to proceed with surgery.

During surgery, the mass was found to be of unusual consistency for a meningioma. Gross total resection of the mass was performed, with the origin confirmed to be at the tentorial notch. Follow-up imaging has since demonstrated no evidence of recurrence or residual tumor as of this report.

Imaging Findings
The MRI revealed a low T1 and heterogeneous T2 signal extra-axial, enhancing lesion along the left tentorium cerebelli, with no edema in the adjacent brain parenchyma. No foci of the low signal were seen on the susceptibility-weighted images to suggest calcification, and there were no areas of restricted diffusion.

https://goo.gl/tZ8VRq
Dr. B●●●●●●●a K●●●r and 1 others like this
Like
Comment
Share