CSF cleft sign

Changed by Edgar Lorente, 11 Jan 2021

Updates to Article Attributes

Body was changed:

The CSF cleft sign in neuroimaging can be used to distinguish an extra-axial lesion from an intra-axial lesion and is typically used in the description of a meningioma.

Classically, the cleft was regarded as representing a thin rim of CSF between a tumour and brain parenchyma. However, it often is of high signal on FLAIR imaging (i.e. does not suppress on FLAIR) and most likely represents a non-CSF tumour-brain interface or CSF admixed with solutes, which can be thought of as 'tumour juice'

Nevertheless, it remains a good sign that a mass is extra-axial and typically consists of:

  • high T2 signal (representing CSF +/- solutes)
  • vessels: pial or larger vessels
  • hypointense dura (on both T1 and T2 on the surface of the mass (if extradural)
  • -<p>The<strong> CSF cleft sign</strong> in neuroimaging can be used to distinguish an <a href="/articles/extra-axial-1">extra-axial</a> lesion from an <a href="/articles/intra-axial-2">intra-axial</a> lesion and is typically used in the description of a <a href="/articles/meningioma">meningioma</a>.</p><p>Classically, the cleft was regarded as representing a thin rim of <a href="/articles/cerebrospinal-fluid-1">CSF</a> between a tumour and brain parenchyma. However, it often is of high signal on <a href="/articles/fluid-attenuated-inversion-recovery">FLAIR</a> imaging (i.e. does not suppress on FLAIR) and most likely represents a non-CSF tumour-brain interface or CSF admixed with solutes, which can be thought of as '<a title="Tumour juice" href="/articles/tumour-juice">tumour juice</a>'. </p><p>Nevertheless, it remains a good sign that a mass is extra-axial and typically consists of:</p><ul>
  • +<p>The<strong> CSF cleft sign</strong> in neuroimaging can be used to distinguish an <a href="/articles/extra-axial-1">extra-axial</a> lesion from an <a href="/articles/intra-axial-2">intra-axial</a> lesion and is typically used in the description of a <a href="/articles/meningioma">meningioma</a>.</p><p>Classically, the cleft was regarded as representing a thin rim of <a href="/articles/cerebrospinal-fluid-1">CSF</a> between a tumour and brain parenchyma. However, it often is of high signal on <a href="/articles/fluid-attenuated-inversion-recovery">FLAIR</a> imaging (i.e. does not suppress on FLAIR) and most likely represents a non-CSF tumour-brain interface or CSF admixed with solutes. </p><p>Nevertheless, it remains a good sign that a mass is extra-axial and typically consists of:</p><ul>
  • -</ul>
  • +</ul><div id="gtx-trans" style="position: absolute; left: 318px; top: 131.4px;"><div> </div></div>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.