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{{Meningioma}}
{{Meningioma}}
{{CMG}} {{AE}}{{HL}}
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==Overview==
==Overview==
[[Head CT scan]] may be diagnostic of meningioma. Findings on CT scan suggestive of meningioma include homogeneously hyperdense lesion, [[calcification]], [[hyperostosis]], [[lytic]] lesions and [[pneumosinus dilatans]].<ref name="raio">Meningioma. Radiopaedia(2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
Head [[CT scan]] may be diagnostic of meningioma. Some of the findings on [[Computed tomography|CT scan]] suggestive of meningioma include edema, [[CSF]] attenuation [[cleft]], round/elongated extraaxial mass, and [[hyperostosis]] of the adjacent [[skull]]. Although [[Magnetic resonance imaging|MRI]] is the diagnostic study of choice, [[Computed tomography|CT]] is easier to use and may be used in cases where there is a contraindication to the use of an [[Magnetic resonance imaging|MRI]].


==CT Scan==
==CT Scan==
* [[Head CT scan]] may be diagnostic of meningioma.<ref name="raio">Meningioma. Radiopaedia(2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
* Findings on CT scan suggestive of meningioma include:<ref name="raio">Meningioma. Radiopaedia(2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
:* Homogeneously hyperdense lesion
:* [[Calcification]]
:* [[Hyperostosis]]
:* [[Lytic]] lesions
:* [[Pneumosinus dilatans]].
*Meningioma is highly [[vascularized]] thus it is readily visualized with contrast head [[CT]] scan.<ref name="raio">Meningioma. Radiopaedia(2015) http://radiopaedia.org/articles/meningioma Accessed on September, 25th 2015</ref>
*Head CT scan confirms the location of the meningioma and illustrates any invasion to the surrounding [[brain]] [[tissue]].
*Head CT scan may be used to determine if the meningioma could be surgically resected.


==Gallery==  
Head [[Computed tomography|CT scan]] may be helpful in the diagnosis of meningioma. Findings on [[Computed tomography|CT scan]] suggestive of/diagnostic of meningioma include:<ref name="pmid20809250">{{cite journal| author=Saloner D, Uzelac A, Hetts S, Martin A, Dillon W| title=Modern meningioma imaging techniques. | journal=J Neurooncol | year= 2010 | volume= 99 | issue= 3 | pages= 333-40 | pmid=20809250 | doi=10.1007/s11060-010-0367-6 | pmc=2945460 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20809250  }} </ref><ref name="pmid12087202">{{cite journal| author=Yu KB, Lim MK, Kim HJ, Suh CH, Park HC, Kim EY et al.| title=Clear-cell meningioma: CT and MR imaging findings in two cases involving the spinal canal and cerebellopontine angle. | journal=Korean J Radiol | year= 2002 | volume= 3 | issue= 2 | pages= 125-9 | pmid=12087202 | doi=10.3348/kjr.2002.3.2.125 | pmc=2713835 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12087202  }} </ref>
*Round or elongated extraaxial [[mass]]
*Mass with broad attachment to the [[dura]]
*Isodense mass. Can often be hyperdense or slightly hypodense compared to the cerebrum
*[[CSF]] attenuation [[cleft]]
*[[Tumor]] intense enhancement
*[[Homogeneous]] mass that can show [[Heterogeneous|heterogeneity]] depending on the presence of fat, calcium, or [[tumor]] [[necrosis]]
*[[Hyperostosis]] of adjacent [[skull]] in [[benign]] meningiomas
*[[Edema]]
*Mixed solid and [[cystic]] mass in clear cell meningiomas


'''Patient #1: 95 y/o female with a large intraventricular memingioma'''
Despite [[Magnetic resonance imaging|MRI]] being the imaging study of choice, [[Computed tomography|CT]] is more widely available, better in urgent settings, and used when patients have a contraindication to [[Magnetic resonance imaging|MRI]] usage such as [[Pacemakers and implantable defibrillators (patient information)|pacemakers]].
<gallery>
Image:


Intraventricular meningioma 001.jpg|CT scout
==Gallery==
 
[[File:Atypical-meningioma-5.jpg|400px|thumb|left|CT scan showing atypical meningioma [https://radiopaedia.org/articles/meningioma?lang=us source:Case courtesy of Dr Bruno Di Muzio, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. ]]]
Image:
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Intraventricular meningioma 002.jpg|CT scout
 
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Intraventricular meningioma 003.jpg
 
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Intraventricular meningioma 004.jpg
 
</gallery>
 
'''Patient #2'''
<gallery>
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Meningioma-101.jpg
 
Image:
 
Meningioma-102.jpg
 
</gallery>
 
'''Patient #3: Biopsy revealed atypical menigiomas'''
<gallery>
Image:
 
Atypical menigiomas 001.jpg
 
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Atypical menigiomas 002.jpg
 
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Atypical menigiomas 003.jpg
 
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Atypical menigiomas 004.jpg
 
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Atypical menigiomas 005.jpg
 
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Atypical menigiomas 006.jpg
 
</gallery>


==References==
==References==
{{reflist|2}}
{{reflist|1}}


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Latest revision as of 14:37, 10 September 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ifeoma Odukwe, M.D. [2] Haytham Allaham, M.D. [3]

Overview

Head CT scan may be diagnostic of meningioma. Some of the findings on CT scan suggestive of meningioma include edema, CSF attenuation cleft, round/elongated extraaxial mass, and hyperostosis of the adjacent skull. Although MRI is the diagnostic study of choice, CT is easier to use and may be used in cases where there is a contraindication to the use of an MRI.

CT Scan

Head CT scan may be helpful in the diagnosis of meningioma. Findings on CT scan suggestive of/diagnostic of meningioma include:[1][2]

Despite MRI being the imaging study of choice, CT is more widely available, better in urgent settings, and used when patients have a contraindication to MRI usage such as pacemakers.

Gallery

CT scan showing atypical meningioma source:Case courtesy of Dr Bruno Di Muzio, <a href="https://radiopaedia.org/">Radiopaedia.org</a>.


References

  1. Saloner D, Uzelac A, Hetts S, Martin A, Dillon W (2010). "Modern meningioma imaging techniques". J Neurooncol. 99 (3): 333–40. doi:10.1007/s11060-010-0367-6. PMC 2945460. PMID 20809250.
  2. Yu KB, Lim MK, Kim HJ, Suh CH, Park HC, Kim EY; et al. (2002). "Clear-cell meningioma: CT and MR imaging findings in two cases involving the spinal canal and cerebellopontine angle". Korean J Radiol. 3 (2): 125–9. doi:10.3348/kjr.2002.3.2.125. PMC 2713835. PMID 12087202.


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