Neurology India Medknow Publications on behalf of the Neurological Society of India ISSN: 0028-3886 EISSN: 1998-4022 Vol. 50, Num. 4, 2002, pp. 540

Neurology India, Vol. 50, No. 4, Dec, 2002, pp. 540

Spinal Meningioma with Positive Dural Tail Sign (Neuroimage)

S.P. Balachandran, M.A. Aleem, P. Rajendran, P. Manivannan, S. Ramu, S. Raveendran, D. Ramasubramanian,

Department of Neurology, Madurai Medical College, Madurai - 625 020, Tamilnadu, India.

Code Number: ni02150

A 13 years old girl with progressive paraparesis of 2 years duration showed brisk deep tendon jerks in the lower limbs and absent abdominal reflexes. Sensory impairment was present below T8 level. Bladder and bowel was not involved. MRI spine showed isointense intradural extra medullary mass on T1WI at the level of T8-T9. The mass was situated anteriorly and to the left side, pushing the cord towards right side (Fig. 1). On T2WI, homogenous enhancement of the mass after IV gadolinium was seen in both coronal (Fig. 2) and sagittal views (Fig. 3). In coronal view hyperintense signals were seen in both supero and infero lateral margins of the mass on the left side indicating positive dural tail sign, characteristic of meningioma (Fig. 2).

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