Intracranial angiomatous meningioma (AM) is a rare meningioma subtype. Hemorrhage is a rare meningioma-related complication that can occur spontaneously. Therefore, this specific medical condition is rarely described in the literature. We describe a rare case of a 65 year's old female with repeated focal left upper limb epileptic attacks and no history or evidence of neoplasms, trauma, or coagulopathy. Magnetic resonance imaging and computed tomography (MRI and CT, respectively) are early and accurate diagnostic tools that reveal an intracerebral hemorrhage from a right occipital meningioma. She was treated by surgical resection. The diagnosis was confirmed based on the pathological analysis of the resected tumor that was reported as an AM.

The sella turcica (ST) serves as a key reference for evaluating cranial morphology and the pituitary gland. Various pathologies can modify its shape and size, making it crucial for diagnosing conditions. Our study aimed to assess the anatomical features of the ST using CT imaging in Saudi Participants. This retrospective cross-sectional study utilized skull CT scans from 396 Participants at King Abdullah Medical City in Mecca. The scans were performed by qualified radiographers under standardized conditions. The distribution of different shapes of the sella turcica on CT scans was categorized based on both traditional and modern classification systems. The data was statistically analyzed. Our study included 199 females (50.3%) and 197 males (49.7%). Mean Sella Turcica dimensions were: length (10.1 mm), A-P diameter (12.5 mm), transverse diameter (11.8 mm), and depth (8.8 mm). The round shape was most common ( n = 177, 43.2%) followed by flat shape ( n = 59.1, 38.6%). Females had significantly deeper ST than males (9.1 vs. 8.5 mm; P -value = 0.006). Length and depth of ST increased with age, ranging from 9.0 to 10.6 mm ( P < 0.001), and from 8.1 to 9.1 mm ( P = 0.009), respectively. In conclusion, gender differences revealed females had deeper sella turcica, while both length and depth increased with age. These findings highlight the importance of considering demographic factors and the need for further research into underlying mechanisms.

Background: Prompt detection of acute ischemic stroke is essential for effective treatment and improved clinical outcomes. Diffusion-weighted imaging (DWI) and non-contrast computed tomography (NCCT) are commonly used imaging tools; however, their relative diagnostic accuracy within the hyperacute phase (≤ 6 hours) requires further clarification. Objectives: This study aimed to evaluate the diagnostic accuracy of NCCT compared with DWI magnetic resonance imaging (MRI) as the reference standard in patients presenting within 6 hours of symptom onset. Methods: This prospective diagnostic accuracy study included 84 consecutive eligible cases presenting with symptoms suggestive of acute ischemic stroke within 6 hours of onset. All patients underwent NCCT followed by DWI MRI. The DWI MRI was predefined as the sole reference standard. Neuroimaging was evaluated by an independent radiologist blinded to clinical data and to the findings of the alternate imaging modality. Diagnostic performance of NCCT was calculated using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), overall accuracy, and 95% confidence intervals (CIs). Results: Among the 84 patients, DWI identified 53 patients as positive for acute ischemic stroke. NCCT correctly identified 45 of these 53 DWI-positive cases, yielding a sensitivity of 84.9% (95% CI: 72.4% - 92.1%). It also correctly identified 24 of 31 DWI-negative cases, resulting in a specificity of 77.4% (95% CI: 59.8% - 89.4%). There were 8 false-negative cases (15.1%) and 7 false-positive cases (22.6%). Overall diagnostic accuracy of NCCT was 82.1% (69/84). Conclusions: Diffusion-weighted imaging demonstrated higher sensitivity than NCCT for detecting hyperacute ischemic stroke. While NCCT remains essential for rapid exclusion of intracranial hemorrhage, DWI may provide complementary diagnostic value when available. These findings should be interpreted cautiously and require confirmation in larger multicenter studies.

Background: Stroke is a major global health issue. It is among the leading causes of disability and mortality worldwide. Early stroke detection and treatment are significant in enhancing long-term outcomes. Awareness of neuroimaging is also essential because neuroimaging must be completed urgently within a limited time to diagnose and treat stroke patients correctly. This study aims to investigate awareness of stroke symptoms, risk factors, and utilization of neuroradiology services among the public in Saudi Arabia. Methods: This is an online survey study that was conducted in Saudi Arabia using social media platforms between January to February 2026. The questionnaire tool for this study was adapted from previous research and examined stroke awareness, symptoms, and risk factors. In addition, it examined neuroradiology awareness and utilization. The multivariable logistic regression analysis was used to identify predictors of better awareness of stroke. Results: A total of 415 participants were involved in this study. Around 46.7% of them were aged 25–34 years. Females formed the majority of the study sample, comprising 76.4%. Bachelor’s degree holders formed 61.4% of the study sample. Around 42.9% of the study sample were unemployed. Married participants contributed 64.3%. Almost half of the study sample (47.2%) reported that their monthly income is less than 5000 SAR. In this study, the participants demonstrated a moderate level of knowledge of stroke. The majority of the participants (70.8%) reported that they are aware of radiology centers near them that they can refer to in case of stroke emergency or follow-up, and 79.0% reported that they think that radiological imaging is important for diagnosing and treating stroke. The majority of the participants (72.3%) reported that they have heard of interventional radiology procedures for stroke. Participants aged 35–44 years and 55–64 years were less likely to have better knowledge of stroke compared to others (aOR: 0.21 (CI: 0.06–0.83); p-value: 0.026) and aOR: 0.17 (CI: 0.04–0.81); p-value: 0.026, respectively). Furthermore, participants who reported that their income level is 5000–9999 SAR and 10,000–14,999 SAR were less likely to have better knowledge of stroke compared to others (aOR: 0.32 (CI: 0.13–0.80); p-value: 0.014 and aOR: 0.21 (CI: 0.09–0.53); p-value: <0.001), respectively). On the other hand, participants who are unemployed were more likely to have better knowledge of stroke compared to others (aOR: 3.63 (CI: 1.09–12.05); p-value: 0.035). Conclusions: The current investigation demonstrated a moderate level of knowledge about strokes among the public in Saudi Arabia. Targeted interventions are mandated to improve the level of awareness about strokes, with a focus on knowledge of the correct emergency response, specifically calling an ambulance.