History: Headaches, right periorbital pain, ataxia, double vision, poor vision on right side x 6 months. Past history of CA prostrateExamination showed right ptosis, blurred vision on right side and ataxia of gait.
Pre-op Xrays
MRI of brain with no contrast showing right suprasellar mass
MRI of brain with contrast showing 2 evenly enhanced masses. The 1st one is right suprasellar and the 2nd is in the left cerebellum.
Clinical Diagnosis:
Multiple Menengiomas
Metastasis
Treatment options:
Leave alone & repeat MRI in one year?
Surgery?
Surgery followed by stereotaxic radiation?
Stereotaxic radiation followed by surgery?
Stereotaxic radiation?
Dr. Fred Gentili, Neurosurgeon, Toronto
Patient seen in Regina by Dr. Gentili. He feels that the perionbital pain is unusual for meningioma. Differential should include metastasis. Suggest biopsy.
Medi-Fax Atlas Series
