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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
Usefulness of a Rim-Enhancing Pattern on the Contrast-Enhanced 3D-FLAIR Sequence and MRI Characteristics for Distinguishing Meningioma and Malignant Dural-Based Tumor.
Panyaping T, Punpichet M, Tunlayadechanont P, Tritanon O
AJNR Am J Neuroradiol 2023 Mar;44(3):247-253. Epub 2023 Feb 2 doi: 10.3174/ajnr.A7780. PMID: 36732030Free PMC Article
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
Prevalence of "dural tail sign" in patients with different intracranial pathologies.
Rokni-Yazdi H, Sotoudeh H
Eur J Radiol 2006 Oct;60(1):42-5. Epub 2006 May 3 doi: 10.1016/j.ejrad.2006.04.003. PMID: 16675180

Diagnosis

Temporal bone meningiomas: emphasizing radiologic signs to improve preoperative diagnosis.
Zeleník K, Hanzlíková P, Blatová B, Formánek M, Komínek P
Eur Arch Otorhinolaryngol 2021 Jan;278(1):271-273. Epub 2020 Jun 12 doi: 10.1007/s00405-020-06110-8. PMID: 32533237
Convexity dural cavernous haemangioma mimicking meningioma: A case report.
Wang X, Liu JP, You C, Mao Q
Br J Neurosurg 2016 Jun;30(3):345-7. Epub 2015 Oct 8 doi: 10.3109/02688697.2015.1096904. PMID: 26449587
Tentorial schwannoma mimicking meningioma.
Nagata T, Goto T, Ichinose T, Tsuyuguchi N, Ohata K
Neurol Med Chir (Tokyo) 2011;51(5):382-5. doi: 10.2176/nmc.51.382. PMID: 21613767
Chordoid meningioma--case report.
Mitsuhashi T, Ono S, Inohara T, Otomo T, Aoki A, Ueki Y
Neurol Med Chir (Tokyo) 2006 Jan;46(1):37-40. doi: 10.2176/nmc.46.37. PMID: 16434825
Schwannoma arising from the tentorium at an unusual location: case report.
Oikawa A, Takeda N, Aoki N, Takizawa T, Sakoma T
Neurosurgery 2002 Jun;50(6):1352-5. doi: 10.1097/00006123-200206000-00028. PMID: 12015855

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

Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review.
Chen M, Lai Q
BMC Neurol 2022 Mar 23;22(1):112. doi: 10.1186/s12883-022-02645-x. PMID: 35321663Free PMC Article
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
Inflammatory Myofibroblastic Tumor of Spinal Canal: Brief Case Report.
Bryl M, Fortuniak J, Wiśniewski K, Bobeff EJ, Jin Y, Papierz W, Jaskólski DJ
J Neurol Surg A Cent Eur Neurosurg 2020 May;81(3):264-270. Epub 2020 Jan 21 doi: 10.1055/s-0039-3400756. PMID: 31962352
MRI and CT findings of isolated intracranial Rosai-Dorfman disease in a child.
Alimli AG, Oztunali C, Boyunaga OL, Pamukcuoglu S, Okur A, Borcek AO
Neuroradiol J 2016 Apr;29(2):146-9. Epub 2016 Feb 25 doi: 10.1177/1971400915628020. PMID: 26915894Free PMC Article
Intracranial extra-axial cavernous angioma of the cerebellar falx.
Melone AG, Delfinis CP, Passacantilli E, Lenzi J, Santoro A
World Neurosurg 2010 Oct-Nov;74(4-5):501-4. Epub 2011 Jan 12 doi: 10.1016/j.wneu.2010.07.015. PMID: 21492602

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
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
Congenital bilateral plexiform neurofibromas of the cavernous sinuses.
Meersschaut VA, Kros JM, Catsman-Berrevoets CE, Lequin MH
Pediatr Radiol 2003 Apr;33(4):272-4. Epub 2003 Feb 14 doi: 10.1007/s00247-003-0878-9. PMID: 12709761
Spinal intradural extramedullary capillary hemangioma: MR imaging findings.
Choi BY, Chang KH, Choe G, Han MH, Park SW, Yu IK, Park YH, Kim HJ
AJNR Am J Neuroradiol 2001 Apr;22(4):799-802. PMID: 11290503Free PMC Article

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