Acta Neurol Belg (2017) 117:745–747 DOI 10.1007/s13760-017-0760-4 N E URO- IMA G ES Microcystic meningioma: difﬁculties in diagnosis and magnetic resonance imaging ﬁndings 1 1 1 • • • Mehmet Cagri Danisman Kazim Serhan Kelesoglu Mesut Sivri 1 1 Mustafa Koplay Yahya Paksoy Received: 2 January 2017 / Accepted: 4 February 2017 / Published online: 14 February 2017 Belgian Neurological Society 2017 A 45-year-old woman was referred to our hospital with the in diagnosis and differential diagnosis of microcystic complaints of dizziness, blurring vision and subsequent meningiomas. Typically meningiomas are deﬁned as extra- syncope. Diffusion and conventional magnetic resonance axially located lesions, having dural tail, and showing imaging (MRI) were performed to the patient. The patient’s strongly homogeneous contrast enhancement without MRI showed an extra-axial mass of 4 9 2.5 cm in size in edema around brain parenchyma. The microcystic menin- the left frontoparietal region. The mass was starting from giomas are reported as low-density lesions at CT exami- centrum semiovale level and continuing through the vertex. nations. They usually show high-contrast enhancement. The mass was hypointense on T1-weighted (W) images, Half of the cases may show hyperostosis. hyperintense on T2W images containing pointwise Microcystic meningiomas are reported as
Acta Neurologica Belgica – Springer Journals
Published: Feb 14, 2017
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