Dural prostate metastasis resembling a chronic subdural haematoma

O’Meara, Connor; Mahasneh, Tamadur; Wilson, Peter J.; I’Ons, Benie; Al-Khawaja, Darweesh

doi:10.1093/jscr/2012.5.7

Cited by 12 publications

(13 citation statements)

References 6 publications

(4 reference statements)

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“…In the literature we found 11 cases 4 5 6 7 8 9 10 11 ( Table 1 ) reported as dural metastasis of prostate cancer presenting as or mimicking an SDH. Between the first diagnosis of prostate cancer and the discovery of the dural metastasis, the time ranged from 3 months to 7 years (mean: 33 months); the mean age of these patients was 64.5 years.…”

Section: Resultsmentioning

confidence: 99%

“…When reviewing the preoperative nonenhanced CT scan images of all of the 11 patients, we can describe three types of image patterns ( Fig. 2A–C ): a nodule in SDH (two cases), 4 9 multinodular metastasis surrounded by SDH (three cases), 4 7 8 and large en plaque subdural tumor (six cases). 5 6 10 11 12 13 This latter group consists of those cases where no blood was found at surgery.…”

Section: Resultsmentioning

confidence: 99%

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Subdural Metastasis of Prostate Cancer

et al. 2015

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Subdural Metastasis of Prostate Cancer

et al. 2015

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“…Compensatory mechanisms are not sufficient to restore coagulation proteins and platelets. Consequently, transfusion of blood products is often indicated [11].…”

Section: Discussionmentioning

confidence: 99%

Dural Metastasis with Subdural Hemorrhage from Prostate Cancer

Kabulo¹

2017

IJNPT

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Abstract:A subdural hematoma (SDH) is usually traumatic in etiology. Non-traumatic instances of SDH are uncommon, and are rarely due to metastases involving the dura. We report a 68-year-old male patient with a one day history of, not communicating and not mobilizing and a 2 weeks history of generalized body weakness. A computed tomography (CT) scan revealed a left sided hypo-dense subdural collection. A diagnosis of left sided chronic subdural hematoma (SDH) was made. Burr hole drainage of the hematoma was performed. Intra-operatively, liquefied blood was drained and a thick dura with reddish material infiltrating the dura was noted. A specimen of the dura was submitted for histology and revealed metastatic carcinoma, confirmed at immunohistochemistry to be of prostatic origin. Conclusion: Metastatic disease should be considered when there is a chronic subdural hematoma with no history of trauma and an unusual dural appearance on imaging.

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“…Subdural metastasis of prostate cancer can mimic a chronic subdural hematoma (30%), an acute hematoma (23%), or, more often, a mixed or subacute subdural hematoma. [5][6][7][8][9][10][11][12][13][14][15] In 38% of patients, subdural metastasis of prostate cancer is associated with a real subdural chronic hematoma. In such cases, images do not show blood sedimentation as in usual mixed hematoma, but a nonenhanced hyperdensity attached on dura.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent origin is prostate (1/5 cases), 4 and less than 15 observations have been reported. [5][6][7][8][9][10][11][12][13][14][15] These few cases were misdiagnosed because of clinical and radiologic similarity to subdural hematomas. Patients underwent drainage surgery, which is not an appropriate treatment in this case.…”

Section: Introductionmentioning

confidence: 99%