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Dural tail sign

MedGen UID:
1694876
•Concept ID:
C5139232
•
Sign or Symptom
HPO: HP:0032268

Definition

This sign represents thickening and enhancement of the dura mater in continuity with a mass, which on MR images, gives the appearance of a tail arising from the mass. The dural tail is thought to represent reactive change; however, it may also be due to tumor invasion. Three criteria need to be met for a positive dural tail sign [from HPO]

Professional guidelines

PubMed

Value of Internal Carotid Artery Stenosis in the Differential Diagnosis between Invasive Pituitary Adenoma and Invasive Meningioma.
Zhang Z, Gong JW, Wen M, Zhang LQ
Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2018 Feb 28;40(1):52-58. doi: 10.3881/j.issn.1000-503X.2018.01.008. PMID: 29532781
Clinical Features and Surgical Treatment of Aggressive Meningiomas.
Wang H, Niu S, Wang C, Liu Y
Turk Neurosurg 2015;25(5):690-4. doi: 10.5137/1019-5149.JTN.10714-14.1. PMID: 26442532

Recent clinical studies

Etiology

Dural Tail Sign and Middle Meningeal Artery Hypertrophy in Glioblastoma: A Rarity?
Romano A, Moltoni G, Dellepiane F, Palizzi S, Romano A, Guarnera A, Stoppacciaro A, Aqui M, Ius T, Miscusi M, Raco A, Bozzao A
World Neurosurg 2023 Aug;176:e240-e245. Epub 2023 May 17 doi: 10.1016/j.wneu.2023.05.038. PMID: 37201790
Tumor volume and the dural tail sign enable the differentiation of intracranial solitary fibrous tumor/hemangiopericytoma from high-grade meningioma.
Xiao D, Shi J, Zhou M, Yan L, Zhao Z, Hu T, Guo X, Zhao H, Yan P, Jiang X
Clin Neurol Neurosurg 2021 Aug;207:106769. Epub 2021 Jun 19 doi: 10.1016/j.clineuro.2021.106769. PMID: 34171585
Differentiation between intraspinal schwannoma and meningioma by MR characteristics and clinic features.
Zhai X, Zhou M, Chen H, Tang Q, Cui Z, Yao Y, Yin Q
Radiol Med 2019 Jun;124(6):510-521. Epub 2019 Jan 25 doi: 10.1007/s11547-019-00988-z. PMID: 30684254
A radiopathological classification of dural tail sign of meningiomas.
Qi ST, Liu Y, Pan J, Chotai S, Fang LX
J Neurosurg 2012 Oct;117(4):645-53. Epub 2012 Jul 27 doi: 10.3171/2012.6.JNS111987. PMID: 22839654
Dural tail sign in spinal meningiomas.
Alorainy IA
Eur J Radiol 2006 Dec;60(3):387-91. Epub 2006 Jul 28 doi: 10.1016/j.ejrad.2006.06.012. PMID: 16876365

Diagnosis

Misdiagnosis and Delay of Diagnosis in Hemorrhagic Meningioma: A Case Series and Review of the Literature.
Huang RB, Chen LJ, Su SY, Wu XJ, Zheng YG, Wang HP, Zhuang RY, Liu Y
World Neurosurg 2021 Nov;155:e836-e846. Epub 2021 Sep 11 doi: 10.1016/j.wneu.2021.09.020. PMID: 34520866
Tumor volume and the dural tail sign enable the differentiation of intracranial solitary fibrous tumor/hemangiopericytoma from high-grade meningioma.
Xiao D, Shi J, Zhou M, Yan L, Zhao Z, Hu T, Guo X, Zhao H, Yan P, Jiang X
Clin Neurol Neurosurg 2021 Aug;207:106769. Epub 2021 Jun 19 doi: 10.1016/j.clineuro.2021.106769. PMID: 34171585
Dural-Based Frontal Lobe Hemangioblastoma.
Vicente Lacerda RA, Teixeira Júnior AG, Sauaia Filho EN, de Macêdo Filho LJM, Antônio AS, Cabral JA, Ramos Júnior F, Valença Júnior JT
World Neurosurg 2019 Sep;129:18-23. Epub 2019 May 29 doi: 10.1016/j.wneu.2019.05.175. PMID: 31150863
Spinal Meningioma Arising from the Denticulate Ligament.
Sawada M, Nakae T, Munemitsu T, Hojo M
World Neurosurg 2018 Jul;115:329-333. Epub 2018 May 3 doi: 10.1016/j.wneu.2018.04.160. PMID: 29729464
The dural tail sign--beyond meningioma.
Guermazi A, Lafitte F, Miaux Y, Adem C, Bonneville JF, Chiras J
Clin Radiol 2005 Feb;60(2):171-88. doi: 10.1016/j.crad.2004.01.019. PMID: 15664571

Therapy

IgG4-Related Disease With Tuberculosis: A Case Report and Retrospective Review of Patients in a Single Center.
Qing P, Lu C, Liu Z, Wen X, Chen B, Lin Z, Ma Y, Zhao Y, Liu Y, Tan C
Front Immunol 2021;12:652985. Epub 2021 Apr 21 doi: 10.3389/fimmu.2021.652985. PMID: 33968053Free PMC Article
Glioblastoma Mimicking Meningioma: Report of 2 Cases.
Patel M, Nguyen HS, Doan N, Gelsomino M, Shabani S, Mueller W
World Neurosurg 2016 Nov;95:624.e9-624.e13. Epub 2016 Aug 23 doi: 10.1016/j.wneu.2016.08.048. PMID: 27565475
Imaging Features Associated With Posttraumatic Breast Neuromas.
AlSharif S, Ferré R, Omeroglu A, El Khoury M, Mesurolle B
AJR Am J Roentgenol 2016 Mar;206(3):660-5. doi: 10.2214/AJR.14.14035. PMID: 26901025
Correlation between preoperative imaging features and intraoperative blood loss of meningioma: a new scoring system for predicting intraoperative blood loss.
Lü J
J Neurosurg Sci 2013 Jun;57(2):153-61. PMID: 23676863
Microcystic meningioma: importance of obvious hypointensity on T1-weighted magnetic resonance images.
Chen CJ, Tseng YC, Hsu HL, Jung SM
J Comput Assist Tomogr 2008 Jan-Feb;32(1):130-4. doi: 10.1097/RCT.0b013e318064f127. PMID: 18303301

Prognosis

Solitary Fibrous Tumor of the Spine: Imaging Grading Diagnosis and Prognosis.
Shen Y, Ren Y, Wang W, Wang Y, Yang Y, Wu F, Wang J, Deng Y, Liu H
J Comput Assist Tomogr 2022 Jul-Aug 01;46(4):638-644. Epub 2022 Apr 8 doi: 10.1097/RCT.0000000000001319. PMID: 35405722
Tumor volume and the dural tail sign enable the differentiation of intracranial solitary fibrous tumor/hemangiopericytoma from high-grade meningioma.
Xiao D, Shi J, Zhou M, Yan L, Zhao Z, Hu T, Guo X, Zhao H, Yan P, Jiang X
Clin Neurol Neurosurg 2021 Aug;207:106769. Epub 2021 Jun 19 doi: 10.1016/j.clineuro.2021.106769. PMID: 34171585
A radiopathological classification of dural tail sign of meningiomas.
Qi ST, Liu Y, Pan J, Chotai S, Fang LX
J Neurosurg 2012 Oct;117(4):645-53. Epub 2012 Jul 27 doi: 10.3171/2012.6.JNS111987. PMID: 22839654
Long-term surgical outcomes of spinal meningiomas.
Nakamura M, Tsuji O, Fujiyoshi K, Hosogane N, Watanabe K, Tsuji T, Ishii K, Toyama Y, Chiba K, Matsumoto M
Spine (Phila Pa 1976) 2012 May 1;37(10):E617-23. doi: 10.1097/BRS.0b013e31824167f1. PMID: 22146282
Pathologic significance of the "dural tail sign".
Rokni-Yazdi H, Azmoudeh Ardalan F, Asadzandi Z, Sotoudeh H, Shakiba M, Adibi A, Ayatollahi H, Rahmani M
Eur J Radiol 2009 Apr;70(1):10-6. Epub 2008 Feb 21 doi: 10.1016/j.ejrad.2008.01.010. PMID: 18294796

Clinical prediction guides

Tumor volume and the dural tail sign enable the differentiation of intracranial solitary fibrous tumor/hemangiopericytoma from high-grade meningioma.
Xiao D, Shi J, Zhou M, Yan L, Zhao Z, Hu T, Guo X, Zhao H, Yan P, Jiang X
Clin Neurol Neurosurg 2021 Aug;207:106769. Epub 2021 Jun 19 doi: 10.1016/j.clineuro.2021.106769. PMID: 34171585
Cavernous Angioma Mimicking Meningioma.
Uzunoglu I, Guvenc G, Kizmazoglu C, Aydin HE, Kaya I, Rezanko TA, Yuceer N
J Craniofac Surg 2019 May/Jun;30(3):e218-e220. doi: 10.1097/SCS.0000000000005177. PMID: 30845079
Differentiation between intraspinal schwannoma and meningioma by MR characteristics and clinic features.
Zhai X, Zhou M, Chen H, Tang Q, Cui Z, Yao Y, Yin Q
Radiol Med 2019 Jun;124(6):510-521. Epub 2019 Jan 25 doi: 10.1007/s11547-019-00988-z. PMID: 30684254
A radiopathological classification of dural tail sign of meningiomas.
Qi ST, Liu Y, Pan J, Chotai S, Fang LX
J Neurosurg 2012 Oct;117(4):645-53. Epub 2012 Jul 27 doi: 10.3171/2012.6.JNS111987. PMID: 22839654
Cervical extradural "en-plaque" meningioma.
Mariniello G, Briganti F, De Caro ML, Maiuri F
J Neurol Surg A Cent Eur Neurosurg 2012 Sep;73(5):330-3. Epub 2012 Jul 9 doi: 10.1055/s-0032-1304222. PMID: 22777927

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