1
57/F
Headache, diplopia, ptosis
Right: III nerve palsy, left V1 hypoesthesia
Circumscribed, isodense, homogenous contrast enhancement
Circumscribed, T1-hypo- and T2-hyperintense
Meningioma
Vascular meningioma
2
45/M
Headache, diplopia, ptosis
Fifth nerve palsy
Poorly circumscribed, hyperdense, homogenous contrast enhancement
ND
Cavernous hemangioma
Cavernous angioma
3
42/F
Headache, ocular pain, visual loss
third and sixth nerve palsy left side
ND
Poorly circumscribed, hypointense lesion with central hyperintensity on T1, homogenous contrast enhancement
Cavernous hemangioma
Cavernous angioma
4
73/M
Memory loss, headache, giddiness, visual loss
Short-term memory loss
ND
Circumscribed, hyperintense on T2
Metastatic adenocarcinoma
5
5/M
Diplopia, visual loss, sensory disturbances, headache
Left sixth nerve palsy
ND
Circumscribed, hyperintense lesion, homogenous contrast enhancement
Cavernous hemangioma
Cavernous angioma
6
25/F
Pain, sensory disturbances
ND
Ill circumscribed, enhancing irregularly
ND
Aspergilloma
Aspergilloma
7
53/F
Pain, ptosis, visual loss
Total ophthalmoplegia. second–fourth and sixth nerve palsy left
Ill circumscribed, enhancing irregularly
ND
Meningioma
Fungal sinusitis, aspergillosis
8
17/F
Headache, amenorrhea, visual loss
Right eye, total loss of vision; left eye, temporal hemianopia
Isodense, homogeneous enhancement, calcified
Iso on T1, hyperintense, homogenous contrast enhancement
Cavernous hemangioma
Cavernous hemangioma
9
32/F
Ptosis, visual loss
Left third nerve palsy with pupillary sparing
ND
Hypointense on T1 and hyperintense on T2, homogenous contrast enhancement
Meningioma
Cavernous hemangioma
10
49/F
Headache, giddiness
Left third and sixth nerve palsy
ND
Hypo on T1, hyper on T2 lesion, homogenous contrast enhancement
Schwannoma
Cavernous hemangioma
11
20/F
Headache, ptosis, visual loss
Conscious, oriented, left ptosis with total ophthalmoplegia, palsy
Well circumscribed, homogeneous enhancement
Isointense on T1and hyperintense on T2, homogenous contrast enhancement
Cavernous hemangioma
Cavernous hemangioma
12
28/F
Headache, ptosis, facial dystonia
Left third, fourth, and sixth nerve palsy, fifth motor sensory paresis
Isodense, Homogeneous enhancement
Hypointense on T1, hyperintense on T2 erosion of petrous, homogenous contrast enhancement
Cavernous hemangioma
Cavernous hemangioma
13
24/M
Sensorimotor trigeminal neuropathy, slowly progressive
NA
NA
NA
NA
Aspergilloma
14
49/F
Headache
NA
NA
NA
NA
Aspergilloma
15
19/F
Headache
Left third, fourth, and sixth nerve palsy
NA
NA
NA
Vascular schwannoma
16
21/M
Double vision
Left sixth nerve palsy
NA
NA
NA
Cavernous angioma
17
22/M
NA
NA
NA
Right parasellar lesion, extending into sella, pituitary made out separately, grossly hyperintense on T2WI and FLAIR, isointense on T1WI, homogenous postcontrast enhancement with central few areas of nonenhancement. ICA is not narrowed.
Cavernous hemangioma. Right side
DD: microcytic meningioma
cavernous angioma
18
22/F
Left ptosis, left diplopia, headache, drowsiness
ND
Left parasellar lesion with suprasellar extension. Large grossly hyperintense lesion on T2WI and FLAIR images, with central hypointense areas. Isointense on T1WI, heterogenous exuberant postcontrast enhancement. No obvious blooming areas on SWI. Left cavernous and supraclinoid ICA is stretched with no obvious narrowing
Left cavernous hemangioma
Cavernous angioma
19
48/M
Diplopia, drooping of eyelid and vision loss in left eye
Left third–fifth nerve palsy. Left V1/V2 sensory deficit
ND
Left parasellar lesion, heterogeneously hyperintense on T2WI and FLAIR (not so hyperintense) with appearance of septations within it, hypointense on T1WI with heterogenous enhancement with more non enhancing areas. Extension into foramen rotundum noted along left maxillary nerve. No areas of blooming noted. ICA not involved
Left trigeminal schwannoma
DD: meningioma
Low-grade chondrosarcoma
20
20/M
Diplopia and vision loss in right eye
ND
Right parasellar lesion, heterogeneously hyperintense on T2WI and FLAIR (few hypointense areas are also seen), hypointense on T1WI and showing heterogenous post-contrast enhancement. (Not so hyperintense as was seen in hemangioma). Right cavernous ICA is stretched and narrowed.
Right-sided meningioma
Schwannoma
21
58/F
Headache, photophobia, left eyelid drooping
left third, fourth, and sixth palsy, left V1 hyperesthesia
ND
Left sided parasellar lesion with sellar extension. Hyperintense on T2WI and FLAIR, hypointense on T1WI with exuberant postcontrast enhancement. No blooming areas noted. ICA is stretched without narrowing
Incidentally, anterior falcine meningioma noted
Left cavernous hemangioma
DD: meningioma in view of presence of one more meningioma
Hemangioma
22
40/F
Right facial paresthesia, numbness eye movement restriction and visual disturbance
–
ND
Right parasellar lesion with sellar extension. Uniformly hyperintense on T2WI and FLAIR Images with exuberant postcontrast enhancement. No blooming in SWI. Stretching of right ICA noted
Right cavernous hemangioma
Hemangioma
23
55/M
Pain, tingling, loss of sensation in left face
left proptosis, left second–fifth and seventh nerve involvement
ND
Limited films. Left parasellar lesion with orbital extension appearing hypointense on T2WI and FLIAR images and isointense on T1WI showing uniform enhancement with orbital extension also
Meningioma
Poorly differentiated adenocarcinoma
24
25/F
NA
NA
NA
Left parasellar lesion. Hypointense on T2WI and FLAIR images, isointense on T1WI with uniform postcontrast enhancement. Dural tail also noted
meningioma
Mets carcinoma
25
48/F
Facial paresthesia
Right-sided third nerve paralysis
ND
Right large parasellar lesion with suprasellar extension. Grossly hyperintense on T2WI and FLAIR, hypointense on T1WI no blooming on SWI images, ICA is stretched, heterogenous postcontrast enhancement with few non enhancing hypointense areas within it
Cavernous hemangioma
Cavernous hemangioma
26
28/M
Headache, left periorbital pain, left eye diplopia × year
–
ND
Left parasellar lesion, heterogenous signal intensity on T2WI and FLAIR images, grossly hyperintense cystic areas with solid isointense areas on T2WI and FLAIR and heterogenous postcontrast enhancement. ICA is stretched and narrowed. Blooming areas are seen on SWI images
Left fifth nerve schwannoma.
DD meningioma
Schwannoma
27
24/F
Card NA
Cavernous sinus hemangioma (nonfunctioning)
ND
Left large parasellar lesion with suprasellar extension. Having both hypointense and hyperintense areas on T1WI and FLAIR images. Uniformly hypointense on T1WI. Showing exuberant post-contrast enhancement (both areas)
Cavernous hemangioma
Cavernous hemangioma
28
46/F
Headache, left facial pain × 5 month, left eyelid drooping × 1 year,
Left MCA infarct
ND
Left parasellar lesion with suprasellar and posterior fossa extension. Appearing heterogeneously hyperdense on CT scan, hyperintense on T2WI and FLAIR images, hypointense on T1WI, heterogenous postcontrast enhancement. Narrowing of the ICA noted with stretching. No bony destruction seen. No blooming on SWI images
Meningioma
DD: fungal lesion
Aspergillus
29
56/M
Right eyelid drooping × 10 month, diplopia × 2 months
Only CT images are available and appear hypodense with presence of calcifications
Right parasellar lesion with sellar and Meckel's cave extension. Appearing hyperintense on T2WI and FLAIR images with septations like appearance within it. Showing blooming on SWI images. Gross postcontrast enhancement is seen. It is hypointense on T1WI
Right trigeminal schwannoma
Low-grade chondrosarcoma
30
65 Y/M
drooping of left eyelid, left eye loss of vision for 2 weeks, one episode of seizure, left V1 paresthesia
–
ND
Left parasellar lesion with suprasellar extension. Large lesion with homogenous hyperintensity on T2WI and FLAIR images, hyperdense on CT scan and Isointense on T1WI, showing exuberant postcontrast enhancement with few non enhancing hypointense areas. No blooming on SWI images. Facilitated diffusion. ICA is stretched and narrowed
Left cavernous hemangioma
Cavernous angioma
31
30/F
Left eye deviation, left eye vision loss
Left eyelid drooping for 3 months, left third, fourth, and sixth nerve palsy, left cavernous sinus lesion with hemangioma
It is hypodense on CT with punctate calcification
Left parasellar lesion having extension into the suprasellar region, left Meckel's cave and along the fifth nerve into the left prepontine cistern heterogeneously hyperintense on T2WI and partially inverting on FLAIR images, hypointense on T1WI and showing mild heterogenous postcontrast enhancement. Blooming foci are seen on SWI images
Left trigeminal schwannoma. Possibly cystic
DD: meningioma
Chordoma
32
56/F
Right eye ptosis, diplopia
–
ND
Right parasellar lesion with posterior fossa extension. Moderately hyperintense on T2WI and FLAIR images with homogenous moderate post-contrast enhancement. Dural tail is seen
Meningioma
Meningothelial meningioma
33
22/F
Right eyelid drooping diplopia
–
ND
Right parasellar lesion. Homogenous moderately hyperintense lesion on both T2WI and FLAIR images. Homogenous enhancement. Lobulated lesion with dural tail
Meningioma
Chordoid meningioma
34
52/F
NA
Left cavernous sinus hemangioma
ND
Left parasellar large lesion with suprasellar extension. Appearing heterogeneously hyperintense on T2WI and FLAIR images with central hypointensity and hypointense on T1WI with heterogenous postcontrast enhancement (central nonenhancing area)
Meningioma
Cavernoma
35
67/F
Left eye ptosis, left face reduced sensation, reduced EOM
–
ND
Left parasellar lesion with suprasellar extension appearing moderately hyperintense on T2WI and FLAIR images. Hypointense on T1WI and homogenous post-contrast enhancement. Dural tail noted
Meningioma
Meningioma
36
45/F
Headache, drooping of right eyelid
ND
Right parasellar lesion with suprasellar and posterior fossa extension. Hyperintense homogenously on T2WI and FLAIR images. Lobulated. Hypointense on T1WI. Homogenous enhancement. Dural tail noted. SWI images are not available
Meningioma
Hemangioma
37
57/F
Headache and vomiting
Right ophthalmoplegia right third and fourth nerve palsy, V1/V2/V3 sensory involvement
ND
Right parasellar lesion with superior orbital fissure extension. Well defined hyperintense lesion on both T2WI and FLAIR images and hypointense on T1WI and shows punctate enhancement on early postcontrast images. Few areas of hyperintensity are seen on T1WI and few areas of hypointensity are also seen on T2WI. The same areas are appearing hypointense on SWI but no blooming is seen
Cavernous hemangioma
Cavernous hemangioma
38
44/F
Left facial weakness years, left progressive vision loss
Left eye ptosis
ND
Moderately hyperintense on T2WI and FLAIR images with post-contrast enhancement
Left sided meningioma with ICA encasement
Fibrous meningioma
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