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Meningioma with vascular pedicle

Case contributed by Frank Gaillard
Diagnosis almost certain

Patient Data

Age: 45 years
Gender: Female

Extra-axial mass with vivid postcontrast enhancement, broad dural base, dural tail sign and central vascular pedicle (spoke wheel sign) noted in right Sylvian fissure.

Extra-axial mass with vivid postcontrast enhancement in right Sylvian fissure.

Case Discussion

Nice example of central vascular pedicle in a meningioma, sometimes referred to as a spoke wheel sign.

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