Formosan Journal of Surgery

CASE REPORT
Year
: 2018  |  Volume : 51  |  Issue : 6  |  Page : 234--237

Hemorrhage glioblastoma mimicks a dural-based meningioma


Tse-Fu Wen, Lin-Hsue Yang, Che-Kuang Lin 
 Department of Surgery, Division of Neurosurgery, Far Eastern Memorial Hospital, Banqiao, New Taipei City, Taiwan

Correspondence Address:
Dr. Che-Kuang Lin
Department of Surgery, Division of Neurosurgery, Far Eastern Memorial Hospital, Banqiao, New Taipei City
Taiwan

The so-called “dural tail sign” (DTS) is a thickening of the dura that is most often seen adjacent to a meningioma. Although the DTS is highly specific for meningioma, it has been observed in numerous other intracranial lesions. The origin of the DTS is an issue of debate. Some authors have described it as a tumor extension, while others have considered it as a proliferation of connective tissue, hypervascularity, and vascular dilatation within the dura and adjacent to cranial masses. Here, we reported a rare case of glioblastoma multiforme (GBM) with image findings of a DTS. A 74-year-old female was taken to our hospital due to the sudden onset of mental status change and right-side hemiparesis. Brain magnetic resonance imaging (MRI) with contrast enhancement showed an intracranial mass with heterogeneous enhancement in the left temporal lobe which was consistent with the DTS. A left frontotemporal craniotomy was performed, and grossly total tumor removal was achieved. The final pathology reported was GBM. Although it is rare, GBM may also on occasion be associated with a DTS. The histopathological examination for DTS in GBM is limited. Currently, excision of the dural tail in GBM is suggested.


How to cite this article:
Wen TF, Yang LH, Lin CK. Hemorrhage glioblastoma mimicks a dural-based meningioma.Formos J Surg 2018;51:234-237


How to cite this URL:
Wen TF, Yang LH, Lin CK. Hemorrhage glioblastoma mimicks a dural-based meningioma. Formos J Surg [serial online] 2018 [cited 2019 Feb 16 ];51:234-237
Available from: http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=6;spage=234;epage=237;aulast=Wen;type=0