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Meningioma - Frontal Parietal

A 13 year-old boy presented with mild incoordination of his left hand.

Note the Isointense Tumor on T1                           Note the Midline Shift                           Show the Gadolinium Enhancement  

Meningioma (Frontal Parietal). (Left ) T1-weighted axial MRI; (Middle ) T2-weighted axial MRI; (Right) T1-weighted with gadolinium axial MRI. Note the large, well demarcated mass that is dural based, and compresses the adjacent frontal and parietal lobes. The mass is isointense on T1-weighted images but strongly enhances with contrast. This is the typical appearance of a meningioma. Note how mild the clinical symptoms are despite the large size of the tumor.

Meningiomas are common tumors that arise from the meninges and can occur within the spinal canal as well as intracranially. They are typically benign histologically, and can be surgically resected if they are in an accessible location. They are more common in women than men, and account for approximately 20% of all primary brain tumors. Similar to low grade gliomas, they grow very slowly. They may result in seizures, focal neurological signs, or both, depending on their location. Some of the more common locations for meningiomas include:

● Parasagittal (attached to the falx)
● Tentorial
● Convexity
● Subfrontal
● Cerebellopontine angle
● Sphenoid wing
● Foramen magnum
● Optic nerve


Revised 11/30/06.
Copyrighted 2006. David C Preston