The "dural tail sign": not always a meningioma.
Periorbital masses are often referred to oculoplastic surgeons. We report a 20-year-old patient presenting with a tender supertemporal mass that on gadolinium-enhanced magnetic resonance imaging (MRI) demonstrated a prominent dural enhancement adjacent to the mass, the so-called "dural tail sign." This sign has been reported to be highly specific for a meningioma; however recent literature challenges this view. In this case as well, the "dural tail sign" was not produced by a meningioma.
Goli
R S
RS
Department of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, D.C., USA.
Cockerham
K
K
Smirniotopoulos
J G
JG
Zeidman
S M
SM
Dow
N S
NS
Bailey
R L
RL
D000328:Adult; D001921:Brain / Q000473:pathology; D003937:Diagnosis, Differential; D019786:Gadolinium DTPA; D006646:Histiocytosis, Langerhans-Cell / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis*; D008579:Meningioma / Q000175:diagnosis*; D009361:Neoplasm Invasiveness / Q000175:diagnosis; D009915:Orbit / Q000473:pathology*; D009916:Orbital Diseases / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D019786:Gadolinium DTPA