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 sig...

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Bibliographic Details
Published in:	Ophthalmic plastic and reconstructive surgery Vol. 14; no. 2; p. 126
Main Authors:	Goli, R S, Cockerham, K, Smirniotopoulos, J G, Zeidman, S M, Dow, N S, Bailey, R L
Format:	Journal Article
Language:	English
Published:	United States 01-03-1998
Subjects:	Adult Brain - pathology Diagnosis, Differential Gadolinium DTPA Histiocytosis, Langerhans-Cell - diagnosis Histiocytosis, Langerhans-Cell - surgery Humans Magnetic Resonance Imaging Male Meningeal Neoplasms - diagnosis Meningioma - diagnosis Neoplasm Invasiveness - diagnosis Orbit - pathology Orbital Diseases - diagnosis Orbital Diseases - surgery Tomography, X-Ray Computed
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Summary:	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.
ISSN:	0740-9303
DOI:	10.1097/00002341-199803000-00009