case_images: PMC10276333_01
case_images: A) inspection in a forward-looking position, showing right-eye proptosis with exodeviation; B) eye movement examination showing right-eye ophthalmoplegia; C) right-eye proptosis (30mm) from a lateral view, measurement using a plastic ruler (not shown in the picture)
case_images: PAMJ-44-136-g001.jpg
case_images: PMC10276333_01_PAMJ-44-136-g001.jpg
case_images: F1
case_images: An obvious proptosis, exodeviation, and ophthalmoplegia, both external and internal, of her right eye was noted (Figure 1), later the measurement of right-eye proptosis using plastic ruler showed 30 mm from lateral orbital rim to the corneal apex compared to the left-eye showed 19 mm within normal limit.
case_images: right sphenoid wing meningioma showed (red arrows) by homogenous enhancing solid mass in the right and left suprasellar regions, with hyperostosis; depicted in the axial slice of the; A) non-contrast CT-scan; B) contrast CT-scan; C) non-contrast MRI; D) contrast MRI, and coronal slice of; E) contrast MRI
case_images: PAMJ-44-136-g002.jpg
case_images: PMC10276333_01_PAMJ-44-136-g002.jpg
case_images: F2
case_images: Subsequently, a head CT scan was performed and (Figure 2) showed an extra-axial isodense lesion with 30 Hounsfield Unit (HU) indicating soft tissue lesion, and with contrast injection showed a strong homogenous enhancement (75 HU); the lesion was regular, well-defined, and showed broad-based on the right sphenoid wing.