Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • Advancing NeuroMRI with High-Relaxivity Contrast Agents
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • Advancing NeuroMRI with High-Relaxivity Contrast Agents
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates


Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Imaging Appearances and Pathologic Characteristics of Spinal Epidural Meningioma

L.H. Zhang and H.S. Yuan
American Journal of Neuroradiology January 2018, 39 (1) 199-204; DOI: https://doi.org/10.3174/ajnr.A5414
L.H. Zhang
aFrom the Department of Radiology, Peking University Third Hospital, Beijing, People's Republic of China.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for L.H. Zhang
H.S. Yuan
aFrom the Department of Radiology, Peking University Third Hospital, Beijing, People's Republic of China.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for H.S. Yuan
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Fig 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 1.

    A dumbbell-shaped epidural psammomatous meningioma in 43-year-old woman at C1–2. Sagittal CT image (A) reveals the dura from the occiput to C2 thickened with patchy calcification. The ossification of the posterior longitudinal ligament is seen in the C2–3 segment. Axial CT image (B) shows a high-intensity epidural mass formed at C1–2 with adjacent bone thinned. Axial T2-weighted image (C) shows that the soft mass has low signal intensity compared with that of the spinal cord. Postcontrast T1-weighted sagittal (D) image demonstrates a diffusely enhancing dorsal and ventral dura extending over 2 vertebral segments. Postcontrast T1-weighted coronal image (E) shows an epidural mass with moderate enhancement and C1–2 intervertebral foramen enlargement. The spinal cord was markedly displaced, and intradural invasion can be seen. F, Photomicrograph of the epidural component shows a psammomatous meningioma characterized by the presence of psammoma bodies (arrows). H&E, original magnification, ×200.

  • Fig 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 2.

    En plaque epidural psammomatous meningioma in a 48-year-old woman at C2–4. Sagittal CT image (A) reveals the dural calcification at the C2–4 spinal segments. Sagittal T2-weighted image (B) shows that the epidural lesion is isointense. Axial T2WI (C) shows that epidural soft mass encircles spinal cord as a half ring. Axial postcontrast T1-weighted image (D) shows that the homogeneously enhanced epidural mass encircling the spinal cord from the ventral and dorsal sides. Sagittal postcontrast T1-weighted image (E) shows homogeneous enhancement of the ventral and dorsal dura, and the dural tail sign can be seen. Coronal postcontrast image (F) shows homogeneous enhancement of the epidural mass that compresses the spinal cord. G, Photomicrograph of a psammomatous meningioma is characterized by the presence of psammoma bodies (arrow). There are meningothelial cells (long arrow) and a small number of fibrous components. H&E, original magnification, ×200.

  • Fig 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 3.

    Fusiform epidural angiomatous meningioma in a 59-year-old woman at T4–6. Sagittal T1-weighted MR image (A) shows the epidural mass with signal intensity like that of the spinal cord. The subarachnoid space is obliterated at the level of the mass. Sagittal T2-weighted MR image (B) shows that the mass has heterogeneous signal intensity and the spinal cord is compressed with edema. Sagittal T1-weighted postcontrast image (C) reveals homogeneous enhancement of the extradural meningioma, and the dural tail sign can be seen. Photomicrograph shows that this tumor is composed of islands of meningothelial cells with many vascular vessels (thin arrows, D). H&E, original magnification, ×200.

Tables

  • Figures
    • View popup
    Table 1:

    Location, shape, and calcification of epidural meningioma

    CaseSexAge (yr)LocationShapeCalcification
    1F20C1–2Dumbbell−
    2F43C1–2Dumbbell+
    3F40C6–7Dumbbell−
    4F76C2–3Dumbbell+
    5M46C2–5En plaque+
    6F48C2–4En plaque+
    7F43C4–6En plaque+
    8F46C2–4En plaque+
    9M36C1–4En plaque+
    10M30C2–4En plaque−
    11M38C3–5En plaque−
    12F47C2–7En plaque−
    13F50T9–10En plaque+
    14F59T4–6Fusiform−
    • View popup
    Table 2:

    Imaging and pathologic findings

    Tumor Type/Imaging FindingsEn PlaqueDumbbellFusiformTotalPercentage
    Tumor location
        Cervical spine8401286%
        Thoracic spine101214%
    Well-defined boundary011214%
    Dural thickening8301179%
    Dural calcification620857%
    Adherence to nerve roots7401179%
    Neural foramen enlargement6401071%
    Bone erosion230536%
    Intradual invasion440857%
    Epidural mass formation7411286%
    Spinal cord compression8311286%
    T1WI
        Isointensity620857%
        Hypointensity321643%
    T2WI
        Isointensity320536%
        Hypointensity520750%
        Heterogeneous101214%
    Dural tail sign8411393%
    Tumor enhancement
        Moderate230536%
        Marked711964%
    Pathologic type
        Psammomatous7301071%
        Meningothelial110214%
        Transitional10017%
        Angiomatous00117%
    • View popup
    Table 3:

    Treatment and follow-up results

    CaseTreatmentFollow-Up (mo)Results
    1Subtotal resection120Recurrence
    2Subtotal resection5Recurrence
    3Complete resection60No recurrence
    4Subtotal resection156Recurrence
    5Subtotal resection68No progress
    6Complete resection79No recurrence
    7Subtotal resection192Recurrence
    8Subtotal resection48No progress
    9Subtotal resection49No progress
    10Subtotal resection36Recurrence
    11Subtotal resectionNoNo MRI follow-up
    12Subtotal resection7Recurrence
    13Subtotal resection180Recurrence
    14Complete resection4No recurrence
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 39 (1)
American Journal of Neuroradiology
Vol. 39, Issue 1
1 Jan 2018
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Imaging Appearances and Pathologic Characteristics of Spinal Epidural Meningioma
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
L.H. Zhang, H.S. Yuan
Imaging Appearances and Pathologic Characteristics of Spinal Epidural Meningioma
American Journal of Neuroradiology Jan 2018, 39 (1) 199-204; DOI: 10.3174/ajnr.A5414

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Imaging Appearances and Pathologic Characteristics of Spinal Epidural Meningioma
L.H. Zhang, H.S. Yuan
American Journal of Neuroradiology Jan 2018, 39 (1) 199-204; DOI: 10.3174/ajnr.A5414
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Dynamic CT Myelography: Patient Positioning
  • Evaluation of SIH MR Scoring Systems in Normals
  • Management Outcomes For VO Spine Biopsy
Show more SPINE IMAGING AND SPINE IMAGE-GUIDED INTERVENTIONS

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire