A rare, mostly benign, primary tumor of the meninges (arachnoid cap cells), usually located in the supratentorial compartment, commonly appearing in the sixth and seventh decade of life, clinically silent in most cases or causing hyperostosis close to the tumor and resulting in focal bulging and localized pain in less than 10% of cases. Additional features may include headache, seizures, gradual personality changes (apathy and dementia), anosmia, impaired vision, exophthalmos, hearing loss, ataxia, dysmetria, hypotonia, nystagmus, and rarely spontaneous bleeding.
Duane's syndrome with compressive denervation of the lateral rectus muscle.
Silverberg M, Demer J. Am J Ophthalmol. 2001;131(1):146-8.
A skull base meningioma was discovered in a woman with Duane's syndrome who presented with recurrent, large-angle esotropia and uncharacteristic atrophy of the lateral rectus muscle on magnetic resonance image (MRI) scan.
