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Meningiomas pp 67–87Cite as

Meningiomas: Imaging Mimics

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Making a correct neuroradiologic diagnosis is a process akin to assemblying a puzzle. Pieces of the puzzle include: patient's age, sex, presenting signs/symptoms, anatomic location, attenuation coefficient (computed tomography [CT]), signal intensity (magnetic resonance imaging [MRI]), and enhancement pattern (CT/MR/angiography). Meningiomas have characteristic imaging features and sites of origin, making diagnosis straightforward in most cases. However, meningiomas can be mimicked by other intracranial tumors and pseudo-tumors [1]. We present a discussion of “meningioma mimics” with emphasis on CT and MRI features.

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References

  1. Rodriguez LE, Rodriguez CY, Cardozo DP, Pena JA, Molina OM, Cardozo JJ. [The classical clinical and neuroimaging features of meningiomas are mimicked by other intracranial, supratentorial expansive lesions]. Rev Neurol 2000;30:907–910.

    CAS  PubMed  Google Scholar 

  2. Rohringer M, Sutherland GR, Louw DF, Sima AA. Incidence and clinicopathological features of meningioma. J Neurosurg 1989;71:665–672.

    Article  CAS  PubMed  Google Scholar 

  3. Spagnoli MV, Goldberg HI, Grossman RI, et al. Intracranial meningiomas: high-field MR imaging. Radiology 1986;161: 369–375.

    CAS  PubMed  Google Scholar 

  4. Sheporaitis LA, Osborn AG, Smirniotopoulos JG, Clunie DA, Howieson J, D'Agostino AN. Intracranial meningioma. AJNR Am J Neuroradiol 1992;13:29–37.

    CAS  PubMed  Google Scholar 

  5. Ide M, Jimbo M, Kubo O, Yamamoto M, Takeyama E, Imanaga H. Peritumoral brain edema and cortical damage by meningioma. Acta Neurochir Suppl (Wien) 1994;60:369–372.

    CAS  Google Scholar 

  6. Koeller KK, Rushing EJ. From the archives of the AFIP: oligo-dendroglioma and its variants: radiologic-pathologic correlation. Radiographics 2005;25:1669–1688.

    Article  PubMed  Google Scholar 

  7. Tien RD, Yang PJ, Chu PK. “Dural tail sign”: a specific MR sign for meningioma? J Comput Assist Tomogr 1991;15:64–66.

    CAS  PubMed  Google Scholar 

  8. Guermazi A, Lafitte F, Miaux Y, Adem C, Bonneville JF, Chiras J. The dural tail sign—beyond meningioma. Clin Radiol 2005;60:171–188.

    Article  CAS  PubMed  Google Scholar 

  9. Hutzelmann A, Palmie S, Zimmer C, Benz T, Leweke F, Freund M. [The meningeal sign: a new appraisal]. Rofo 1996;164: 314–317.

    CAS  PubMed  Google Scholar 

  10. Kuroiwa T, Ohta T. MRI appearances mimicking the dural tail sign: a report of two cases. Neuroradiology 2000;42:199–202.

    Article  CAS  PubMed  Google Scholar 

  11. Kutcher TJ, Brown DC, Maurer PK, Ghaed VN. Dural tail adjacent to acoustic neuroma: MR features. J Comput Assist Tomogr 1991;15:669–670.

    Article  CAS  PubMed  Google Scholar 

  12. Abdullah S, Morgensztern D, Rosado MF, Lossos IS. Primary lymphoblastic B-cell lymphoma of the cranial dura mater: a case report and review of the literature. Leuk Lymphoma 2005;46:1651–1657.

    Article  PubMed  Google Scholar 

  13. Good CD, Kingsley DP, Taylor WJ, Harkness WF. “Dural tail” adjacent to a giant posterior cerebral artery aneurysm: case report and review of the literature. Neuroradiology 1997;39:577–580.

    Article  CAS  PubMed  Google Scholar 

  14. Goldsher D, Litt AW, Pinto RS, Bannon KR, Kricheff II. Dural “tail” associated with meningiomas on Gd-DTPA-enhanced MR images: characteristics, differential diagnostic value, and possible implications for treatment. Radiology 1990;176:447– 450.

    CAS  PubMed  Google Scholar 

  15. Cho YD, Choi GH, Lee SP, Kim JK. (1)H-MRS metabolic patterns for distinguishing between meningiomas and other brain tumors. Magn Reson Imaging 2003;21:663–672.

    Article  PubMed  Google Scholar 

  16. Younis G, Sawaya R. Intracranial osteolytic malignant meningio-mas appearing as extracranial soft-tissue masses. Neurosurgery 1992;30:932–935.

    Article  CAS  PubMed  Google Scholar 

  17. Grover SB, Aggarwal A, Uppal PS, Tandon R. The CT triad of malignancy in meningioma-redefinition, with a report of three new cases. Neuroradiology 2003;45:799–803.

    Article  CAS  PubMed  Google Scholar 

  18. Tanaka Y, Matsuo M. [Role of MR imaging in the differentiation of benign and nonbenign intracranial meningiomas: the utility of contrast-enhanced T1-weighted images]. Nippon Igaku Hoshasen Gakkai Zasshi 1996;56:1–8.

    CAS  PubMed  Google Scholar 

  19. Buetow MP, Buetow PC, Smirniotopoulos JG. Typical, atypical, and misleading features in meningioma. Radiographics 1991;11:1087–1106.

    CAS  PubMed  Google Scholar 

  20. Tagle P, Villanueva P, Torrealba G, Huete I. Intracranial metastasis or meningioma? An uncommon clinical diagnostic dilemma. Surg Neurol 2002;58:241–245.

    Article  PubMed  Google Scholar 

  21. Lippman SM, Buzaid AC, Iacono RP, et al. Cranial metastases from prostate cancer simulating meningioma: report of two cases and review of the literature. Neurosurgery 1986;19:820–823.

    Article  CAS  PubMed  Google Scholar 

  22. Yodonawa M, Tanaka S, Kohno K, Ishii Z, Tamura M, Ohye C. [Brain metastasis of follicular carcinoma of the thyroid gland. Meningioma-like features demonstrated by CT scan and cerebral angiography—case report]. Neurol Med Chir (Tokyo) 1987;27:995–999.

    Article  CAS  Google Scholar 

  23. Morioka T, Matsushima T, Ikezaki K, et al. Intracranial adenoid cystic carcinoma mimicking meningioma: report of two cases. Neuroradiology 1993;35:462–465.

    Article  CAS  PubMed  Google Scholar 

  24. Umezu H, Sano T, Aiba T, Unakami M. Calcified intracranial metastatic tumor mimicking meningioma—case report. Neurol Med Chir (Tokyo) 1994;34:108–110.

    Article  CAS  Google Scholar 

  25. Kremer S, Grand S, Remy C, et al. Contribution of dynamic contrast MR imaging to the differentiation between dural metastasis and meningioma. Neuroradiology 2004;46:642–648.

    Article  CAS  PubMed  Google Scholar 

  26. Liu M, Wei Y, Liu Y, Zhu S, Li X. Intraventricular meninigio-mas: a report of 25 cases. Neurosurg Rev 2006;29:36–40.

    Article  CAS  PubMed  Google Scholar 

  27. Quinones-Hinojosa A, Chang EF, Khan SA, Lawton MT, McDermott MW. Renal cell carcinoma metastatic to the cho-roid mimicking intraventricular meningioma. Can J Neurol Sci 2004;31:115–120.

    PubMed  Google Scholar 

  28. Ahn JY, Choi EW, Kang SH, Kim YR. Isolated meningeal chloroma (granulocytic sarcoma) in a child with acute lymphoblas-tic leukemia mimicking a falx meningioma. Childs Nerv Syst 2002;18:153–156.

    Article  PubMed  Google Scholar 

  29. Wright DH, Hise JH, Bauserman SC, Naul LG. Intracranial gran-ulocytic sarcoma: CT, MR, and angiography. J Comput Assist Tomogr 1992;16:487–489.

    Article  CAS  PubMed  Google Scholar 

  30. Fucharoen S, Suthipongchai S, Poungvarin N, Ladpli S, Sonakul D, Wasi P. Intracranial extramedullary hematopoiesis inducing epilepsy in a patient with beta-thalassemia\—hemoglobin E. Arch Intern Med 1985;145:739–742.

    Article  CAS  PubMed  Google Scholar 

  31. Atweh GF, Jabbour N. Intracranial solitary extraskeletal plasma-cytoma resembling meningioma. Arch Neurol 1982;39:57–59.

    CAS  PubMed  Google Scholar 

  32. Provenzale JM, Schaefer P, Traweek ST, et al. Craniocere-bral plasmacytoma: MR features. AJNR Am J Neuroradiol 1997;18:389–392.

    CAS  PubMed  Google Scholar 

  33. Vonofakos D, Marcu H, Hacker H. Oligodendrogliomas: CT patterns with emphasis on features indicating malignancy. J Comput Assist Tomogr 1979;3:783–788.

    CAS  PubMed  Google Scholar 

  34. Becker H, Vonofakos D. [Diagnostic significance of brain tumor calcifications in the computerized tomogram]. Radiologe 1983;23:459–462.

    CAS  PubMed  Google Scholar 

  35. Morantz RA, Feigin I, Ransohoff J, III. Clinical and pathological study of 24 cases of gliosarcoma. J Neurosurg 1976;45:398–408.

    Article  CAS  PubMed  Google Scholar 

  36. Lee YY, Castillo M, Nauert C, Moser RP. Computed tomography of gliosarcoma. AJNR Am J Neuroradiol 1985;6:527–531.

    CAS  PubMed  Google Scholar 

  37. Jack CR, Jr., Bhansali DT, Chason JL, et al. Angiographic features of gliosarcoma. AJNR Am J Neuroradiol 1987;8:117–122.

    PubMed  Google Scholar 

  38. Lewis AI, Tew JM, Jr., Payner TD, Yeh HS. Dural cavernous angiomas outside the middle cranial fossa: a report of two cases. Neurosurgery 1994;35:498–504.

    Article  CAS  PubMed  Google Scholar 

  39. Shen WC, Chenn CA, Hsue CT, Lin TY. Dural cavernous angioma mimicking a meningioma and causing facial pain. J Neuroimaging 2000;10:183–185.

    CAS  PubMed  Google Scholar 

  40. Vogler R, Castillo M. Dural cavernous angioma: MR features. AJNR Am J Neuroradiol 1995;16:773–775.

    CAS  PubMed  Google Scholar 

  41. Rosso D, Lee DH, Ferguson GG, Tailor C, Iskander S, Hammond RR. Dural cavernous angioma: a preoperative diagnostic challenge. Can J Neurol Sci 2003;30:272–277.

    PubMed  Google Scholar 

  42. Rivera PP, Willinsky RA, Porter PJ. Intracranial cavernous malformations. Neuroimaging Clin N Am 2003;13:27–40.

    Article  PubMed  Google Scholar 

  43. Yan HJ, Lin KE, Lee ST, Tzaan WC. Calcified chronic subdu-ral hematoma: case report. Changgeng Yi Xue Za Zhi 1998;21: 521–525.

    CAS  PubMed  Google Scholar 

  44. Shrivastava RK, Sen C, Costantino PD, Della RR. Sphenoorbital meningiomas: surgical limitations and lessons learned in their long-term management. J Neurosurg 2005;103:491–497.

    Article  PubMed  Google Scholar 

  45. Cappabianca P, Cirillo S, Alfieri A, et al. Pituitary macroade-noma and diaphragma sellae meningioma: differential diagnosis on MRI. Neuroradiology 1999;41:22–26.

    Article  CAS  PubMed  Google Scholar 

  46. Taylor SL, Barakos JA, Harsh GR, Wilson CB. Magnetic resonance imaging of tuberculum sellae meningiomas: preventing preoperative misdiagnosis as pituitary macroadenoma. Neuro-surgery 1992;31:621–627.

    CAS  Google Scholar 

  47. Sebbag M, Schmidt V, Leboucq N, Bitoun J, Castan P, Frerebeau P. [Dura mater chondroma. A case report and review of the literature]. J Radiol 1990;71:495–498.

    CAS  PubMed  Google Scholar 

  48. Lacerte D, Gagne F, Copty M. Intracranial chondroma. Report of two cases and review of the literature. Can J Neurol Sci 1996;23:132–137.

    CAS  Google Scholar 

  49. Brownlee RD, Sevick RJ, Rewcastle NB, Tranmer BI. Intracranial chondroma. AJNR Am J Neuroradiol 1997;18:889–893.

    CAS  PubMed  Google Scholar 

  50. Lin WC, Lirng JF, Ho DM, et al. A rare giant intracranial osteo-chondroma. Zhonghua Yi Xue Za Zhi (Taipei) 2002;65:235– 238.

    Google Scholar 

  51. Miura FK, De Aguiar PH, Michailowsky C, et al. [Falx osteo-chondroma: case report and review of the literature]. Arq Neu-ropsiquiatr 1997;55:618–624.

    CAS  Google Scholar 

  52. Ikeda Y, Shimura T, Higuchi H, Nakazawa S, Sugisaki Y. [Intra-cranial osteochondroma—case report (author's transl)]. No Shinkei Geka 1980;8:263–269.

    CAS  PubMed  Google Scholar 

  53. Chitkara N, Sharma NK, Goyal N. Osteoma mimicking a partly calcified meningioma. Neurol India 2003;51:287–288.

    CAS  PubMed  Google Scholar 

  54. Fujimaki T, Matsutani M, Funada N, et al. CT and MRI features of intracranial germ cell tumors. J Neurooncol 1994;19:217–226.

    Article  CAS  PubMed  Google Scholar 

  55. Konovalov AN, Spallone A, Pitzkhelauri DI. Meningioma of the pineal region: a surgical series of 10 cases. J Neurosurg 1996;85:586–590.

    Article  CAS  PubMed  Google Scholar 

  56. Yang C, Jagjivan B, Rao K. Germinoma-unusual presentation: a case report. Conn Med 2004;68:617–619.

    PubMed  Google Scholar 

  57. Som PM, Lidov M, Brandwein M, Catalano P, Biller HF. Sinonasal esthesioneuroblastoma with intracranial extension: marginal tumor cysts as a diagnostic MR finding. AJNR Am J Neuroradiol 1994;15:1259–1262.

    CAS  PubMed  Google Scholar 

  58. Rottnek M, Strauchen J, Moore F, Morgello S. Primary dural mucosa-associated lymphoid tissue-type lymphoma: case report and review of the literature. J Neurooncol 2004;68:19–23.

    Article  CAS  PubMed  Google Scholar 

  59. Kumar S, Kumar D, Kaldjian EP, Bauserman S, Raffeld M, Jaffe ES. Primary low-grade B-cell lymphoma of the dura: a mucosa associated lymphoid tissue-type lymphoma. Am J Surg Pathol 1997;21:81–87.

    Article  CAS  PubMed  Google Scholar 

  60. Xu QW, Che XM, Hu J, Yang BJ. Diagnosis and treatment of trigeminal schwannomas extending into both the middle and posterior cranial fossa. Chin Med J (Engl ) 2004;117:1876–1879.

    Google Scholar 

  61. Kanamalla US. The optic nerve tram-track sign. Radiology 2003;227:718–719.

    Article  PubMed  Google Scholar 

  62. Morley TP, Barr HW. Giant intracranial aneurysms: diagnosis, course, and management. Clin Neurosurg 1969;16:73–94.

    CAS  PubMed  Google Scholar 

  63. Bonneville F, Cattin F, Marsot-Dupuch K, Dormont D, Bonn-eville JF, Chiras J. T1 signal hyperintensity in the sellar region: spectrum of findings. Radiographics 2006;26:93–113.

    Article  PubMed  Google Scholar 

  64. Khaimook W, Hirunpat S, Dejsukum C. Meningioma of the internal auditory canal: a case report. J Med Assoc Thai 2005;88:1707–1711.

    PubMed  Google Scholar 

  65. Asaoka K, Barrs DM, Sampson JH, McElveen JT, Jr., Tucci DL, Fukushima T. Intracanalicular meningioma mimicking vestibular schwannoma. AJNR Am J Neuroradiol 2002;23:1493–1496.

    PubMed  Google Scholar 

  66. Macdonald AJ, Salzman KL, Harnsberger HR, Gilbert E, Shelton C. Primary jugular foramen meningioma: imaging appearance and differentiating features. AJR Am J Roentgenol 2004;182:373–377.

    PubMed  Google Scholar 

  67. Yamada SM, Ikeda Y, Takahashi H, Teramoto A, Yamada S. Hemangioblastomas with blood supply from the dural arteries- two case reports. Neurol Med Chir (Tokyo) 2000;40:69–73.

    Article  CAS  Google Scholar 

  68. Xie J, Ma Z, Luo S. [Clinical features of hemangioblasto-mas of the central nervous system]. Zhonghua Yi Xue Za Zhi 1997;77:191–193.

    CAS  PubMed  Google Scholar 

  69. Koeller KK, Sandberg GD. From the archives of the AFIP. Cerebral intraventricular neoplasms: radiologic-pathologic correlation. Radiographics 2002;22:1473–1505.

    Google Scholar 

  70. Lang FF, Macdonald OK, Fuller GN, DeMonte F. Primary extradural meningiomas: a report on nine cases and review of the literature from the era of computerized tomography scanning. J Neurosurg 2000;93:940–950.

    Article  CAS  PubMed  Google Scholar 

  71. Keyaki A, Nabeshima S, Bessho H, et al. [Fibrous dysplasia of the skull presenting interesting neuroradiological findings]. No Shinkei Geka 1999;27:275–279.

    CAS  PubMed  Google Scholar 

  72. Jayaraj K, Martinez S, Freeman A, Lyles KW. Intraosseous meningioma—a mimicry of Paget's disease? J Bone Miner Res 2001;16:1154–1156.

    Article  CAS  PubMed  Google Scholar 

  73. Nakai Y, Yanaka K, Iguchi M, et al. [A case of multiple myeloma presenting with a subcutaneous mass: significance of “dural tail sign” in the differential diagnosis of the meningeal tumors]. No Shinkei Geka 1999;27:67–71.

    CAS  PubMed  Google Scholar 

  74. Politi M, Romeike BF, Papanagiotou P, et al. Intraosseous hemangioma of the skull with dural tail sign: radiologic features with pathologic correlation. AJNR Am J Neuroradiol 2005;26:2049–2052.

    PubMed  Google Scholar 

  75. Lindner A, Schneider C, Hofmann E, Soerensen N, Toyka KV. Isolated meningeal tuberculoma mimicking meningioma: case report. Surg Neurol 1995;43:81–83.

    Article  CAS  PubMed  Google Scholar 

  76. Yanardag H, Uygun S, Yumuk V, Caner M, Canbaz B. Cerebral tuberculosis mimicking intracranial tumour. Singapore Med J 2005;46:731–733.

    CAS  PubMed  Google Scholar 

  77. Adachi K, Yoshida K, Tomita H, Niimi M, Kawase T. Tuber-culoma mimicking falx meningioma—case report. Neurol Med Chir (Tokyo) 2004;44:489–492.

    Article  Google Scholar 

  78. Wasay M, Kheleani BA, Moolani MK, et al. Brain CT and MRI findings in 100 consecutive patients with intracranial tubercu-loma. J Neuroimaging 2003;13:240–247.

    Article  PubMed  Google Scholar 

  79. Delaney P. Neurologic manifestations in sarcoidosis: review of the literature, with a report of 23 cases. Ann Intern Med 1977;87:336–345.

    CAS  PubMed  Google Scholar 

  80. Pickuth D, Heywang-Kobrunner SH. Neurosarcoidosis: evaluation with MRI. J Neuroradiol 2000;27:185–188.

    CAS  PubMed  Google Scholar 

  81. Rodriguez F, Link MJ, Driscoll CL, Giannini C. Neurosarcoid-osis mimicking meningioma. Arch Neurol 2005;62:148–149.

    Article  PubMed  Google Scholar 

  82. Martin N, Masson C, Henin D, Mompoint D, Marsault C, Nahum H. Hypertrophic cranial pachymeningitis: assessment with CT and MR imaging. AJNR Am J Neuroradiol 1989;10:477–484.

    CAS  PubMed  Google Scholar 

  83. Kazem IA, Robinette NL, Roosen N, Schaldenbrand MF, Kim JK. Best cases from the AFIP: idiopathic tumefactive hypertro-phic pachymeningitis. Radiographics 2005;25:1075–1080.

    Article  PubMed  Google Scholar 

  84. Narla LD, Newman B, Spottswood SS, Narla S, Kolli R. Inflammatory pseudotumor. Radiographics 2003;23:719–729.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Cleveland Clinic, Cleveland, OH, USA

    Manzoor Ahmed

  2. Department of Neuroradiology, Cleveland Clinic, Cleveland, OH, USA

    Thomas J. Masaryk

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  1. Manzoor Ahmed
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  2. Joung H. Lee
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Editors and Affiliations

  1. Brain Tumor & Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

    Joung H. Lee

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Ahmed, M., Lee, J.H., Masaryk, T.J. (2009). Meningiomas: Imaging Mimics. In: Lee, J.H. (eds) Meningiomas. Springer, London. https://doi.org/10.1007/978-1-84628-784-8_8

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