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Gingko Leaf Sign: A Classical Imaging Finding in Spinal Meningiomas
The common imaging features surgeons use to distinguish spinal meningiomas from spinal nerve sheath tumors on magnetic resonance (MR) scans include the presence of the “dural tail sign” on contrast-enhanced MR images, hypointensity of the lesion on T2 sequences, presence of calcifications, lack of extraspinal dumbbell extension, and the lack of cystic changes in the lesion. We highlight the rarely described finding–the “Gingko-Leaf” sign that is caused by the stretched denticulate ligament as it extends laterally, through the tumor, from the compressed spinal cord.
Keywordsspinal meningiomas - gingko leaf sign - dentate ligament - intradural extramedullary tumors - spinal nerve sheath tumors.
Article published online:
27 March 2023
© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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