EyeRounds Online Atlas of Ophthalmology

Contributor:
Andrew Doan, MD, PhD, University of Iowa

Category: Neuro-ophthalmology
Diagnosis: sphenoid wing meningioma

Image Comments:

1) Visual fields with loss OD.
2) T1 MRI without contrast shows subtle, large hypo-intense mass near optic chiasm and sphenoid sinus on axial cuts.
3) T1, post-contrast MRI shows enhancing lesion (consistent with meningioma: dark on T1, enhances with contrast)
4) T1 post-contrast coronal MRI scan showing impingement on right optic nerve and chiasm.
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