Otology & Neurotology 39:e222–e223 2018, Otology & Neurotology, Inc. Imaging Case of the Month Anthony M. Tolisano, yKevin Lin, and Brandon Isaacson Department of Otolaryngology—Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas; and yThe University of Texas Medical Branch School of Medicine, Galveston, Texas CASE PRESENTATION Imaging findings in this case support a diagnosis of jugular foramen meningioma. This is supported by the A 67-year-old woman with a history of hyperlipidemia presence of dural tails, homogenous postcontrast enhance- and depression presented with acute onset vertigo, imbal- ment, and the absence of flow voids on gadolinium- ance, and right pulsatile tinnitus. On physical examination, enhanced T1-weighted MRI. Although meningiomas she was noted to have a wide-based gait that veered to the may demonstrate variable T1- and T2-weighted signal left during walking. Computed tomography (CT) and mag- intensity on MRI, they are most often isointense to gray netic resonance imaging (MRI) of the brain revealed no matter on T2-weighted MRI (3). Interestingly, T1 and T2 evidence of a stroke, but a right-sided jugular foramen mass signal intensity has been shown to vary according to the was identified (Fig. 1). Serum metanephrines and norme- histologic subtype of meningioma
Otology & Neurotology – Wolters Kluwer Health
Published: Mar 1, 2018
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