RT Book, Section
A1 Brust, John C. M. 
SR Print(0)
ID 1180669591
T1 Mostly Olfactory
T2 Practice of Neural Science: A Case-Based Approach
YR 1
FD 1
PB 
PP New York, NY
SN 9781264258956
LK neurology.mhmedical.com/content.aspx?aid=1180669591
RD 2024/04/25
AB For  several  months,  a  57-year-old  woman  has  noticed  that  food  seems  to  have  less  taste.  She  also  has  had  intermittent  midfrontal  headaches.  On  examination,  there  is  normal  taste  sensation  to  sugar,  salt,  vinegar,  and  quinine,  but  smell  is  absent  to  peppermint,  lemon,  and  coffee.  Except  for  mildly  decreased  corrected  visual  acuity  on  the  left,  the  neurological  examination  is  normal.  Magnetic  resonance  imaging  reveals  a  3-cm  sharply  demarcated  mass  occupying  the  olfactory  grooves  beneath  the  frontal  lobe  and  strongly  enhancing  with  gadolinium.  A  diagnosis  of  meningioma  is  confirmed  at  surgery;  following  total  removal  of  the  tumor,  her  visual  acuity  on  the  left  returns  to  normal,  but  she  remains  anosmic.