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Subdural Metastasis of Prostate Cancer

Dural metastasis from prostate cancer is rare and may mimic a subdural hematoma (SDH). Preoperatively diagnosis may be difficult and only reveal its presence during surgery. We present such a case and review the literature to identify common characteristics. A 65-year-old man presented with headache...

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Autores principales: Nzokou, Andre, Magro, Elsa, Guilbert, François, Fournier, Jean Yves, Bojanowski, Michel W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520961/
https://www.ncbi.nlm.nih.gov/pubmed/26251788
http://dx.doi.org/10.1055/s-0035-1549224
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author Nzokou, Andre
Magro, Elsa
Guilbert, François
Fournier, Jean Yves
Bojanowski, Michel W.
author_facet Nzokou, Andre
Magro, Elsa
Guilbert, François
Fournier, Jean Yves
Bojanowski, Michel W.
author_sort Nzokou, Andre
collection PubMed
description Dural metastasis from prostate cancer is rare and may mimic a subdural hematoma (SDH). Preoperatively diagnosis may be difficult and only reveal its presence during surgery. We present such a case and review the literature to identify common characteristics. A 65-year-old man presented with headache, confusion, and progressive right upper limb weakness. Past history included a prostate adenocarcinoma with bone metastasis 3 years earlier. Head computed tomography (CT) scan without contrast revealed a multinodular bilateral hyperdense extra-axial lesion interpreted as acute SDH. At surgery planned for SDH drainage no blood was found; instead there was an en plaque subdural yellowish tumor. Histopathologic examination was consistent with metastatic adenocarcinoma of the prostate. We found 11 cases reported as dural metastasis of prostate cancer mimicking SDH. Surgery was performed on nine cases with no suspicion of dural metastasis. On preoperative nonenhanced CT scan images, three types of image patterns can be described: a nodule in SDH, multinodular metastasis surrounded by SDH, and large en plaque subdural tumor. The latter group consists of those cases where no blood but rather an en plaque subdural tumor was found at surgery. Even though rare, dural metastasis should be considered among the differential diagnoses in a patient known for prostate cancer.
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spelling pubmed-45209612015-08-06 Subdural Metastasis of Prostate Cancer Nzokou, Andre Magro, Elsa Guilbert, François Fournier, Jean Yves Bojanowski, Michel W. J Neurol Surg Rep Article Dural metastasis from prostate cancer is rare and may mimic a subdural hematoma (SDH). Preoperatively diagnosis may be difficult and only reveal its presence during surgery. We present such a case and review the literature to identify common characteristics. A 65-year-old man presented with headache, confusion, and progressive right upper limb weakness. Past history included a prostate adenocarcinoma with bone metastasis 3 years earlier. Head computed tomography (CT) scan without contrast revealed a multinodular bilateral hyperdense extra-axial lesion interpreted as acute SDH. At surgery planned for SDH drainage no blood was found; instead there was an en plaque subdural yellowish tumor. Histopathologic examination was consistent with metastatic adenocarcinoma of the prostate. We found 11 cases reported as dural metastasis of prostate cancer mimicking SDH. Surgery was performed on nine cases with no suspicion of dural metastasis. On preoperative nonenhanced CT scan images, three types of image patterns can be described: a nodule in SDH, multinodular metastasis surrounded by SDH, and large en plaque subdural tumor. The latter group consists of those cases where no blood but rather an en plaque subdural tumor was found at surgery. Even though rare, dural metastasis should be considered among the differential diagnoses in a patient known for prostate cancer. Georg Thieme Verlag KG 2015-05-13 2015-07 /pmc/articles/PMC4520961/ /pubmed/26251788 http://dx.doi.org/10.1055/s-0035-1549224 Text en © Thieme Medical Publishers
spellingShingle Article
Nzokou, Andre
Magro, Elsa
Guilbert, François
Fournier, Jean Yves
Bojanowski, Michel W.
Subdural Metastasis of Prostate Cancer
title Subdural Metastasis of Prostate Cancer
title_full Subdural Metastasis of Prostate Cancer
title_fullStr Subdural Metastasis of Prostate Cancer
title_full_unstemmed Subdural Metastasis of Prostate Cancer
title_short Subdural Metastasis of Prostate Cancer
title_sort subdural metastasis of prostate cancer
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520961/
https://www.ncbi.nlm.nih.gov/pubmed/26251788
http://dx.doi.org/10.1055/s-0035-1549224
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