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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...

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Detalles Bibliográficos
Autores principales: Boukas, Alexandros, Sunderland, Geraint J., Ross, Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
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.
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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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