Meningioma: Difference between revisions

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* [[cavernous sinus meningioma|Cavernous sinus Meningiomas]]{{NoteBoxEnd}}
* [[cavernous sinus meningioma|Cavernous sinus Meningiomas]]{{NoteBoxEnd}}
[[File:BT SupTentPostFossa OlfGrve 02.jpg|thumb|454x454px]]
[[File:BT SupTentPostFossa OlfGrve 02.jpg|thumb|454x454px]]
= General information =
* Meningiomas are a group of tumors that are believed to originate in meningothelial cells of the arachnoid membrane.
* They may be intracranial (MC), intraorbital, or intra-spinal.
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Revision as of 19:20, 3 March 2024

General information

  • Meningiomas are a group of tumors that are believed to originate in meningothelial cells of the arachnoid membrane.
  • They may be intracranial (MC), intraorbital, or intra-spinal.


Anterior skull base Meningiomas

Nomenclature

  • Olfactory Groove Meningiomas (OGM)
    Nomenclature of anterior skull base meningiomas
  • Planum Sphenoidale Meningiomas
  • Tuberculum Sellae Meningioma (TSM)

Clinical Presentation

  • Personality Δ
  • H/A
  • Sz's
  • Visual deficits
  • Anosmia
  • Foster-Kennedy syndrome of unilateral optic atrophy and contralateral papilledema

Comparison of OGM and TSM

Factor OGM TSM
Location Cribriform, frontosphenoid suture Planum sphenoidale, tuberculum sellae
Blood supply Ant & pos ethmoidals, middle meningeal, ophthalmic (meningeal branch, ACA & ACoA) Pos ethmoidal (ACA & ACoA)
Olfactory nerves Superolat Inferolat
Optic nerve/chiasm Inferolat Superolat
ACA Pos. to posterosuperior Posterosuperior

Diagnosis

Imaging findings

  • Wide dural based
  • Hyperostosis
  • Dural tail
  • Calcifications
  • Homogeneous enhancement
  • Pneumosinus dilatans
  • MRI: isointense on T1WI, hypointense on T2WI