Meningioma is one of the most common spinal extramedullary tumors, largely intradural. An extradural localization is possible but less frequent. There are two morphologically different types of meningioma: one is round, and the other is the “en-plaque” form, that grows along the dura mater like a sheet. The “en-plaque” form, is unusual. We report on an unusual case of epidural and extraspinal “en-plaque” meningioma, describing the MRI and CT features and discussing the possible principal differential diagnosis (neurolymphomatosis, plexiform neurofibromas/schwannomas and metastasis).