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Dural tail sign seen associated with a meningioma. The dural tail sign (also known as "dural thickening", "flare sign", or "meningeal sign") is a radiological finding observed in magnetic resonance imaging (MRI) studies of the brain that refers to a thickening of the dura mater immediately adjacent to a mass lesion, such as a brain tumor. [1]
Meningioma seen at autopsy, as a tumor of the dura mater extending into the cranial cavity, and can be detached from the bone along with the rest of the dura mater. Small tumors (e.g., < 2.0 cm) usually are incidental findings at autopsy without having caused symptoms. Larger tumors may cause symptoms, depending on the size and location.
Sphenoid wing meningioma in magnetic resonance imaging (T1w contrast enhanced) Sphenoid wing meningioma in computed tomography which shows the reactive orbital hyperostosis. A sphenoid wing meningioma is a benign brain tumor near the sphenoid bone.
Visual field-right superior quadrantanopia. Lesions of right temporal lobe (meyer's Loop) of the optic radiation on one side produces a loss of the upper, outer quadrant of vision on the contralateral side, known as homonymous superior quadrantanopia or superior quadrantic hemianopia. [25] This is also known as pie in the sky disorder. [3]
MRI of a patient with ONSM. The most common symptom of ONSM is a gradual loss of vision in one eye. In a minority of patients this may be intermittent, at least to begin with. Less common symptoms include pain in the affected eye, protrusion of the eye, or double vision. [2]
MRI can make a diagnosis even without an analysis of the cerebrospinal fluid but it can sometimes be difficult to detect because MRI scans cannot always pick up the problem. [ 20 ] Diagnosis is most commonly made by lumbar puncture to detect malignant cells in the CSF, although the tests may be negative in roughly 10% of patients. [ 5 ]
The term has also been used to describe findings associated with optic nerve sheath meningioma. [3]Tram track-shaped calcifications in the cerebral cortex indicate Sturge–Weber syndrome.
Kernohan's notch is an ipsilateral condition, in that a left-sided primary lesion (in which Kernohan's notch would be on the right side) evokes motor impairment in the left side of the body and a right-sided primary injury evokes motor impairment in the right side of the body. [4]
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