Sunday, 12 August 2007

CPA meningioma

2nd most common CPA lesion
2nd most common intracranial tumor
More common in women, 3:1
Middle aged people

CT:
Hyperdense (75%) lesion with intense enhancement (90%)
Calcium in 25%
IAM not usually enlarged
Sclerosis of adjacent bone
Surrounding edema may be seen

MR:
Iso to gray matter
May show cystic changes, necrosis or hemorhage
Intense enhancement
Dural tail sign in 60%
Surrounding edema may be seen