RT Journal Article
SR Electronic
T1 Benign Enhancing Foramen Magnum Lesions: Clinical Report of a Newly Recognized Entity
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 721
OP 725
DO 10.3174/ajnr.A5085
VO 38
IS 4
A1 McGuinness, B.J.
A1 Morrison, J.P.
A1 Brew, S.K.
A1 Moriarty, M.W.
YR 2017
UL http://www.ajnr.org/content/38/4/721.abstract
AB SUMMARY: Intradural extramedullary foramen magnum enhancing lesions may be due to meningioma, nerve sheath tumor, aneurysm, or meningeal disease. In this clinical report of 14 patients, we describe a novel imaging finding within the foramen magnum that simulates disease. The lesion is hyperintense on 3D-FLAIR and enhances on 3D gradient-echo sequences but is not seen on 2D-TSE T2WI. It occurs at a characteristic location related to the posterior aspect of the intradural vertebral artery just distal to the dural penetration. Stability of this lesion was demonstrated in those patients who underwent follow-up imaging. Recognition of this apparently benign lesion may prevent unnecessary patient anxiety and repeat imaging.