Related Experiment Video
Updated: Aug 12, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
The "dural tail sign": not always a meningioma
R S Goli1, K Cockerham, J G Smirniotopoulos
1Department of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, D.C., USA.
Abstract:
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.

