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An "isodense" (on CT) meningioma

¹ Senior Physician, Department of Neurology, University Hospital Erlangen, Germany
² Head Department of Neuroradiology, University Hospital Erlangen, Germany
³ Department of Neuroradiology, Western General Hospital, Edinburgh, UK

Correspondence to:
Correspondence to:
Dr J G Heckmann Department of Neurology, University Hospital Erlangen, Schwabachanlage 6, 91054 Erlangen, Germany;
josef.heckmann@neuro.imed.unierlangen.de

The first 150 words of the full text of this article appear below.

A woman in her sixties was found with a right-sided hemiplegia and aphasia. It was assumed that she had suffered an acute stroke. A non-contrast CT brain scan was performed, but revealed no abnormalities at first view by the physicians on duty (fig 1A and B). Thrombolytic therapy was considered, but not carried out as her symptoms spontaneously improved. The EEG was normal. The patient had no vascular risk factors and an antiplatelet drug was prescribed. Three months later a second episode with aphasia occurred, prompting an MR scan which revealed a temporal meningioma, with contrast enhancement (fig 1C and D).

View larger version (76K): [in this window] [in a new window]   Figure 1 The upper parts A and B show the unenhanced CT scan; C and D the equivalent images from the enhanced MR scan (allowing one to look retrospectively even harder at the correct place on the CT). On the CT the sulci are effaced (compared with the right . . . [Full text of this article]