Open AccessIntrasellar psammomatous meningioma: a case report and review of the literature
Author(s) -
Riccioni Luca,
Antonio Balestrieri,
Dalila Fuschillo,
Nasi Maria Teresa,
Tosatto Luigino
Publication year - 2022
Publication title -
journal of neuroscience and neurological disorders
Language(s) - English
Resource type - Journals
ISSN - 2639-3220
DOI - 10.29328/journal.jnnd.1001061
Subject(s) - medicine , magnetic resonance imaging , meningioma , radiology , pituitary adenoma , transsphenoidal surgery , adenoma , pathology
Intrasellar meningioma (IM) is a rare occurrence that is difficult to distinguish preoperatively from the most common non-functioning pituitary adenoma. Here we describe a case of psammomatous IM occurring in a 68-year-old woman, presented with visual defects. On magnetic resonance imaging (MRI) she was found to have an intrasellar mass with suprasellar extension that was approached with transsphenoidal surgery. Subtle radiological hints, namely dural tail sign, intralesional calcifications and a marked and homogenous early enhancement of IM on MRI after gadolinium administration, may aid clinicians in achieving an accurate pre-operative diagnosis and choosing the proper surgical approach. The clinical and neuroradiological features of IM described in the literature has been reviewed.