Giant meningioma in skull radiograph.

Khairy S, Orz Y. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220833 Description A 35-year-old woman presented to peripheral hospital with loss of consciousness, urine incontinence and behavioural changes. The family noticed her impulsiveness and irritability 2 months prior to her presentation to the emergency department. No history of fever, vomiting, trauma or seizures. She was transferred to our hospital and on arrival, she was confused, with normal cranial nerve examination and equally reactive pupils. She had marked weakness in right upper and lower limbs. Because intracranial lesion was suspected, a lateral skull X-ray and a CT scan were done which revealed a large left frontal extra-axial calcified lesion with enlarged meningeal artery grooves (see figure 1 for the X-ray and figure 2 for the sagittal MRI). The patient underwent craniotomy and total removal of the meningioma with total weight of 347 g with pathological feature of psammomatous meningioma, WHO grade 1 (figure 3). She tolerated the procedure well and her neurological weakness as well as incontinence and behavioural changes improved gradually. Follow-up X-ray done the Giant meningioma in skull radiograph Sami Khairy, Yasser Orz Images in...