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Skull Base 2001; 11(2): 143-148
DOI: 10.1055/s-2001-14466
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Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Petroclival Meningioma

Ossama Al-Mefty1 , Laligam N. Sekhar2 , Chandranath Sen3 , Harry R. van Loveren4
  • 1Department of Neurosurgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
  • 2Mid-Atlantic Brain and Spine Institutes, Annandale, Virginia
  • 3Department of Neurosurgery, St. Luke's-Roosevelt Hospital Center, New York, New York
  • 4Mayfield Clinic, Cincinnati, Ohio
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Publication History

Publication Date:
31 December 2001 (online)

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CASE HISTORY

A 28-year-old Hispanic woman complained that she had been experiencing vertigo, ataxia, distal left paresthesias, and left-sided hearing loss for 1 year. Her symptoms had worsened in the last month. On physical examination, she was alert and oriented. Her speech was clear but hesitant. With the exception of left-sided deafness, her cranial nerves were intact. She had a left pronator drift. She had a mild left upper extremity weakness, but her right upper extremity and bilateral lower extremities were normal. The entire left side of her body was hypesthetic. She had mild left dysdiadochokinesia and dysmetria with an ataxic gait. Her toes were upgoing bilaterally. Magnetic resonance imaging (MRI) showed a massive petroclival meningioma extending along the clivus and above and below the tentorium eccentric to the left (Fig. [1]).