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Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature
BACKGROUND: Malignant disease metastasising to the cranial dura is rare. Dural metastases manifesting as a subdural fluid collection and presenting as a chronic subdural hematoma is an uncommon entity with unknown pathophysiology. CASE DESCRIPTION: We present a patient with known prostate cancer met...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345634/ https://www.ncbi.nlm.nih.gov/pubmed/25737800 http://dx.doi.org/10.4103/2152-7806.151713 |
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author | Boukas, Alexandros Sunderland, Geraint J. Ross, Nicholas |
author_facet | Boukas, Alexandros Sunderland, Geraint J. Ross, Nicholas |
author_sort | Boukas, Alexandros |
collection | PubMed |
description | BACKGROUND: Malignant disease metastasising to the cranial dura is rare. Dural metastases manifesting as a subdural fluid collection and presenting as a chronic subdural hematoma is an uncommon entity with unknown pathophysiology. CASE DESCRIPTION: We present a patient with known prostate cancer metastasising to the cranial dura masquerading as a chronic subdural hematoma. The patient presented with bilateral subdural collections manifesting with confusion and dysphasia. Initial drainage of the larger, symptomatic left side improved only temporarily patient's symptoms. A second drainage of the collection was performed on the same side 5 days later and dural biopsies taken during the same procedure revealed prostate metastases. The patient improved slowly and was discharged to a hospice for palliative care management. CONCLUSIONS: Prostate dural metastases should be suspected in patients with known prostate cancer presenting with a subdural collection in the absence of cranial trauma. If decision to drain the subdural collection is taken, then biopsies can be taken the same time as they can pose a diagnostic challenge. |
format | Online Article Text |
id | pubmed-4345634 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-43456342015-03-03 Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature Boukas, Alexandros Sunderland, Geraint J. Ross, Nicholas Surg Neurol Int Case Report BACKGROUND: Malignant disease metastasising to the cranial dura is rare. Dural metastases manifesting as a subdural fluid collection and presenting as a chronic subdural hematoma is an uncommon entity with unknown pathophysiology. CASE DESCRIPTION: We present a patient with known prostate cancer metastasising to the cranial dura masquerading as a chronic subdural hematoma. The patient presented with bilateral subdural collections manifesting with confusion and dysphasia. Initial drainage of the larger, symptomatic left side improved only temporarily patient's symptoms. A second drainage of the collection was performed on the same side 5 days later and dural biopsies taken during the same procedure revealed prostate metastases. The patient improved slowly and was discharged to a hospice for palliative care management. CONCLUSIONS: Prostate dural metastases should be suspected in patients with known prostate cancer presenting with a subdural collection in the absence of cranial trauma. If decision to drain the subdural collection is taken, then biopsies can be taken the same time as they can pose a diagnostic challenge. Medknow Publications & Media Pvt Ltd 2015-02-19 /pmc/articles/PMC4345634/ /pubmed/25737800 http://dx.doi.org/10.4103/2152-7806.151713 Text en Copyright: © 2015 Boukas A. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Boukas, Alexandros Sunderland, Geraint J. Ross, Nicholas Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature |
title | Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature |
title_full | Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature |
title_fullStr | Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature |
title_full_unstemmed | Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature |
title_short | Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature |
title_sort | prostate dural metastasis presenting as chronic subdural hematoma. a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345634/ https://www.ncbi.nlm.nih.gov/pubmed/25737800 http://dx.doi.org/10.4103/2152-7806.151713 |
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