Related Experiment Video
Updated: Jan 24, 2026

Point of Care Transcranial Color-Coded Duplex Ultrasound of the Middle Cerebral Artery
Published on: August 9, 2024
Transcranial color-coded sonography may indirectly reveal an intracranial meningioma
Emanuele Bartolini1, Andria Filippi1, Gianfranco Cafforio1
1USL Nordovest Toscana, Neurology Unit, San Luca Hospital, Lucca, Italy.
Abstract:
Meningiomas are extra-axial tumors with a long-standing indolent clinical course. Sphenoid wing meningiomas may slowly grow, spreading toward the orbitofrontal and temporal regions as well as encasing the middle cerebral artery (MCA). Herein, we report the incidental finding of a sphenoid wing meningioma compressing the MCA in a patient who undergone a transcranial sonography study for recurrent speech disorders. We illustrate the associated sonographic "red flags" which should prompt to suspect an underlying compressive space-occupying lesion.
Insights
Sphenoid wing meningiomas can compress the middle cerebral artery (MCA). Transcranial sonography revealed this incidental finding, highlighting key signs for detecting compressive lesions.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Meningiomas are typically slow-growing, extra-axial tumors.
- Sphenoid wing meningiomas can invade adjacent cranial structures, including the middle cerebral artery (MCA).
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