Objectives. Evaluate clinic manifestations and radiological diagnosis of suprasellar meningiomas. Method: The author retrospectively review the medical documents of a consecutive series of 37 patients treated at Viet-Duc hospital for suprasellar meningiomas between 6/2006 to 6/2011. Results.Female/Male: 2.7/1, mean age 48.6; Deterioration of visual acuity (usually asymmetrical) was presenting in 83.8 percent patients, among these 32.4 percent with unilateral or bilateral visual loss; visual field defect 59.4 percent; headache 29.7 percent. CT-sanner reveals 81.1 percent tumors which are isodense and slight hyperdense, 100 percent lesions were strong enhencement with CT contrast. IRM shows isodense mass lesions in 54.1 percent on T1-weighted and in 51.3 percent T2-weighted; after administration of gadolinium, these lesions have dense and homogeneous enhancement, and 86.5 percent of cases have sign of dural tail. Conclusion: Suprasellar meningiomas has a preponderance in women, and the mean age at diagnosis is 48.6. Visual symptoms occur early and is usually slowly progressive. The radiological diagnosis demontrastes a homogeneous mass lesion at level of sella, that was isodense or slight hyperdense, densely enhenced, and a dural tail.
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