Metástasis durales:
formas de presentación y hallazgos claves en resonancia magnética
Resumen
El compromiso secundario de la duramadre es una forma poco frecuente de presentación de enfermedad metastásica intra-craneana en el paciente con cáncer.
Su diagnóstico por imágenes suele ser complejo debido a la similitud entre estas lesiones y los meningiomas, los tumores intra-craneanos más frecuentes del adulto.
El encare terapéutico de ambas lesiones es diferente, así como sus implicancias pronósticas por lo que es fundamental sospechar el diagnóstico en vistas a una correcta toma de decisiones.
El objetivo de este trabajo es analizar las formas de presentación de las metástasis durales e identificar elementos claves que permitan establecer el diagnós-tico imagenológico, mediante el análisis retrospectivo de una serie de casos con confirmación histológica.
Citas
1. Guermazi A, Lafitte F, Miaux Y, Adem C, Bonneville JF, Chiras J. The dural tail sign – beyond meningioma. Clinical Radiology 2005; 60:171-188.
2. Harrison RA, Nam JY, Weathers SP, DeMonte F. Intracranial dural, calvarial, and skull base metastases. Handbook of clinical neurology 2018; 149:205-225. DOI: https://doi.org/10.1016/B978-0-12-811161-1.00014-1
3. Kleinschmidt-Demasters BK. Dural metastases: a retrospective surgical and autopsy series. Arch Pathol Lab Med 2002; 125: 880–887.
4. Laigle-Donadey F, Taillibert S, Mokhtari K et al. Dural metastases. Journal of Neuro-oncology 2005; 75:57-61.
5. Nayak L, Abrey LE, Iwamoto FM. Intracranial dural metastases. Cancer 2009; 115: 1947–1953.
6. Ambiavagar PC, Sher J. Subdural hematoma secondary to metastatic neoplasm: report of two cases and a review of the literature. Cancer 1978; 42: 2015–2018.
7. Da Silva AN, Schiff D. Dural and skull base metastases. Cancer Treat Res 2007; 136: 117–141.
8. Wu H, Beylerli O, Gareev I, et al. Are there reliable multiparametric MRI criteria of differential diagnosis between intracranial meningiomas and solitary intracranial metastases? Oncology letters 2023; 26:350-365
9. Johnson MD, Powell SZ, Boyer PJ et al.. Dural lesions mimicking meningiomas. Human Pathology 2002; 33: 1211–1226.
10. Tagle P, Villanueva P, Torrealba G et al.. Intracranial metastasis or meningioma? An uncommon clinical diagnostic dilemma. Surg Neurol 2002; 58: 241–245.
11. Laidlaw JD, Kumar A, Chan A. Dural metastases mimicking meningioma. Case report and review of the literature. J Clin Neurosci 2004; 11: 780–783.
12. Yoon JT, Lee KM, Na K. Dural tail sign positive tumors: points to make a differential diagnosis. Radiology case reports 2024; 19:773-779.
13. Osborn AG, Hedlund S. Osborn’s brain. 2nd ed. Amsterdam: Elsevier; 2017. 659-92, 846-52 p.
14. Kim BW, Kim MS, Kim SW, Chang CH, Kim OL. Peritumoral brain edema in meningiomas: correlation of radiologic and pathologic features. J Korean Neurosurg Soc 2011; 49(1):26–30.
15. Bendini M, Marton E, Feletti A, Rossi S, Curtolo S, Inches I, Ronzon M, Longatti P and Di Paola F: Primary and metastatic intraaxial brain tumors: Prospective comparison of multivoxel 2D chemical shift imaging (CSI) proton MR spectroscopy, perfusion MRI, and histopathological findings in a group of 159 patients. Acta Neurochir (Wien) 2011; 153:403-412.
16. Lui YW, Malhotra A, Farinhas JM, Dasari SB, Weidenheim K, Freeman K and LaSala PA: Dynamic perfusion MRI characteristics of Dural metastases and meningiomas: A pilot study characterizing the first-pass wash-in phase beyond relative cerebral blood volume. AJR Am J Roentgenol 2011; 196: 886-890.
17. Maroldi R, Ambrosi C, Farina D. Metastatic disease of the brain: extra-axial metastases (skull, dura, leptomeningeal) and tumour spread. Eur Radiol 2005; 15: 617–626.
2. Harrison RA, Nam JY, Weathers SP, DeMonte F. Intracranial dural, calvarial, and skull base metastases. Handbook of clinical neurology 2018; 149:205-225. DOI: https://doi.org/10.1016/B978-0-12-811161-1.00014-1
3. Kleinschmidt-Demasters BK. Dural metastases: a retrospective surgical and autopsy series. Arch Pathol Lab Med 2002; 125: 880–887.
4. Laigle-Donadey F, Taillibert S, Mokhtari K et al. Dural metastases. Journal of Neuro-oncology 2005; 75:57-61.
5. Nayak L, Abrey LE, Iwamoto FM. Intracranial dural metastases. Cancer 2009; 115: 1947–1953.
6. Ambiavagar PC, Sher J. Subdural hematoma secondary to metastatic neoplasm: report of two cases and a review of the literature. Cancer 1978; 42: 2015–2018.
7. Da Silva AN, Schiff D. Dural and skull base metastases. Cancer Treat Res 2007; 136: 117–141.
8. Wu H, Beylerli O, Gareev I, et al. Are there reliable multiparametric MRI criteria of differential diagnosis between intracranial meningiomas and solitary intracranial metastases? Oncology letters 2023; 26:350-365
9. Johnson MD, Powell SZ, Boyer PJ et al.. Dural lesions mimicking meningiomas. Human Pathology 2002; 33: 1211–1226.
10. Tagle P, Villanueva P, Torrealba G et al.. Intracranial metastasis or meningioma? An uncommon clinical diagnostic dilemma. Surg Neurol 2002; 58: 241–245.
11. Laidlaw JD, Kumar A, Chan A. Dural metastases mimicking meningioma. Case report and review of the literature. J Clin Neurosci 2004; 11: 780–783.
12. Yoon JT, Lee KM, Na K. Dural tail sign positive tumors: points to make a differential diagnosis. Radiology case reports 2024; 19:773-779.
13. Osborn AG, Hedlund S. Osborn’s brain. 2nd ed. Amsterdam: Elsevier; 2017. 659-92, 846-52 p.
14. Kim BW, Kim MS, Kim SW, Chang CH, Kim OL. Peritumoral brain edema in meningiomas: correlation of radiologic and pathologic features. J Korean Neurosurg Soc 2011; 49(1):26–30.
15. Bendini M, Marton E, Feletti A, Rossi S, Curtolo S, Inches I, Ronzon M, Longatti P and Di Paola F: Primary and metastatic intraaxial brain tumors: Prospective comparison of multivoxel 2D chemical shift imaging (CSI) proton MR spectroscopy, perfusion MRI, and histopathological findings in a group of 159 patients. Acta Neurochir (Wien) 2011; 153:403-412.
16. Lui YW, Malhotra A, Farinhas JM, Dasari SB, Weidenheim K, Freeman K and LaSala PA: Dynamic perfusion MRI characteristics of Dural metastases and meningiomas: A pilot study characterizing the first-pass wash-in phase beyond relative cerebral blood volume. AJR Am J Roentgenol 2011; 196: 886-890.
17. Maroldi R, Ambrosi C, Farina D. Metastatic disease of the brain: extra-axial metastases (skull, dura, leptomeningeal) and tumour spread. Eur Radiol 2005; 15: 617–626.
Publicado
2026-04-16
Como citar
SGARBI, Nicolás; TELIS, Osmar.
Metástasis durales:.
Revista de Imagenología, [S.l.], v. 28, n. 1, apr. 2026.
Disponible en: <https://sriuy.org.uy/ojs/index.php/Rdi/article/view/158>. Fecha de acceso: 21 apr. 2026
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