Case 317

Case 317

Medical history

A 76-year-old male patient was taken by family members to medical care at a Basic Health Unit with an intermittent memory alteration (possibly lost in the peridomiciliary environment) starting 2 years ago. In addition, he complained of progressive deterioration of gait and episodic headache, both with 1 year of evolution. He is hypertensive with inadequate control. Referred to HC-UFMG for hospitalization, after the accomplishment of computed tomography (CT) of the encephalon.

Image 1: CT scan of the brain, axial view at the sealing/supraselar level, without intravenous contrast.

Image 2: CT scan of the brain, axial view at the suprasellar level, after intravenous injection of iodinated contrast.

Image 3: Magnetic resonance imaging (MRI) in T2 sequence, axial view at the suprasellar level.

Image 4: Magnetic resonance imaging (MRI) in T1 sequence after administration of intravenous contrast (gadolinium), sagittal view at the right parasselar level.

Based on the clinical history and the presented images, the most probable diagnosis is:

Test question

(HC – UFPR)(Specific Test / 2016) Meningiomas are usually benign tumors of slow growth. The most common location of intracranial meningiomas in adults is: