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Washington University Experience | NEOPLASMS (MENINGIOMA) | Gross Pathology | 51A0 Case 51 History
Case 51 History ---- This 79 year old man had a long history of hypertension, untreated, COPD with certain reversible reactive component and documented right retro-orbital parasellar mass that was felt to be a meningioma. Subsequently, in the early part of this year, he developed right sided ptosis and diminution of visual acuity in his right eye. He was evaluated at that time with skull x-rays which showed erosion of the lesser wing of the sphenoid on the right side and an EMI that showed a contrast enhancing lesion in the floor of the right middle fossa. Angiogram showed a 3 X 3 cm. mass that was felt to be a meningioma. Decision was made at that time not to subject the patient to surgery because of his multiple medical problems as well as the fact that his major complaint was a gait disturbance. He had no vision in the right eye. The right pupil was larger than the left and there were paresis of the right 3rd, 4th, and 6th cranial nerves. Following a 13 day hospitalization for deep vein thrombosis, he became lethargic and not verbally responding. Neurological examination at that time showed bilateral facial weakness and loss of brainstem reflexes. The patient suffered cardiac arrest with unsuccessful efforts at resuscitation.
