Prevalence of "dural tail sign" in patients with different intracranial pathologies.

Abstract:

:The purpose of this study is to clarify the prevalence, spectrum of associated tumors and the diagnostic value of the linear meningeal thickening and enhancement adjacent to a peripherally located cranial mass "dural tail sign"(DTS) in contrast enhanced magnetic resonance imaging (MRI). In this prospective descriptive cross-sectional study conducted from 2002 to 2005, 110 patients with imaging-proven intracranial lesions and no history of previous intracranial surgery were referred to the neurosurgery clinic of our hospital for surgical resection. All underwent imaging with a 1.5 T MR system with and without contrast injection. Twelve patients were excluded from our study and finally 98 patients were evaluated for the presence of "dural tail sign". Twenty-two of 98 patients (22.44%) with intracranial masses exhibited the "dural tail sign" (18 meningiomas, 2 pituitary adenomas, 1 primary cerebral lymphoma and 1 fungal brain abscess). Fifty-eight percent of the patients with biopsy-proven meningioma were observed to show "dural tail sign". In conclusion, we found the "dural tail sign" to have a sensitivity of 58.6% and specificity of 94.02% in diagnosis of meningioma.

journal_name

Eur J Radiol

authors

Rokni-Yazdi H,Sotoudeh H

doi

10.1016/j.ejrad.2006.04.003

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

42-5

issue

1

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(06)00127-6

journal_volume

60

pub_type

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