Post-traumatic acute-on-chronic subdural haematoma: an unusual presentation of skull metastasis from prostate carcinoma

Lippa, Laura; Cerase, Alfonso; Cecconi, F; Cacciola, Francesco

doi:10.1136/bcr-2017-221187

Cited by 3 publications

(3 citation statements)

References 8 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient was admitted due to clinical deterioration. In correlation with the radiological picture suggesting a hematoma, he was qualified for interventional treatment [ 12 ]. Therefore, extending the diagnosis with MRI is useful and should be considered if the patient’s clinical condition is stable enough to perform additional diagnostics.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, extending the diagnosis with MRI is useful and should be considered if the patient’s clinical condition is stable enough to perform additional diagnostics. Expanding the diagnosis with a contrast-enhanced CT protocol in case of an equivocal baseline study seems sufficient, especially when patients with a positive oncological history such as prostate cancer, breast cancer, or malignant melanoma are involved [ 12 ]. However, in the presented case, even contrast admission failed to properly identify a dural metastasis.…”

Section: Discussionmentioning

confidence: 99%

“…In such cases, aggressive surgical treatment appears to have questionable clinical utility. However, decompression with removal of the fluid fraction by trephination or small craniotomy especially in cases of mass effect is indicated [ 12 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Dural metastasis of prostate carcinoma mimicking intracranial hematoma: a case report and literature review

Kokot,

Dzierżanowski,

Krakowiak

et al. 2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Dural metastases of prostate adenocarcinoma are an extremely rare complication and may mimic intracranial hematoma. Preoperatively diagnosis may be difficult due to similarities in symptoms and radiological appearance. We present a 65-year-old man admitted to the ED with a history of headache, nausea, vomiting, vertigo, diplopia, as well as numbness of his left lower extremity. Past medical history confirmed metastatic prostate cancer disease. After computed tomography and contrast computed tomography, the consulting radiologist diagnosed a chronic subdural hematoma. After burr hole trephination and dural opening, tumorous mass was detected. Histopathologic samples were taken. Histopathological examination was consistent with metastatic adenocarcinoma of the prostate. Although rare, dural metastases need to be included in oncological patients presenting in the ED with symptoms and radiological imaging suggesting hematoma. Both neurooncological and neurosurgical consultations are essential in order to apply the best treatment strategy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dural metastasis of prostate carcinoma mimicking intracranial hematoma: a case report and literature review

Kokot,

Dzierżanowski,

Krakowiak

et al. 2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

Holohemispheric Prostate Carcinoma Dural Metastasis Mimicking Subdural Hematoma: Case Report and Review of the Literature

et al. 2022

View full text Add to dashboard Cite

Prostate carcinomas are the most common malignancy to metastasize to the dura. These metastases can commonly mimic subdural hematomas and may similarly present with brain compression. The optimal management and outcomes after surgical management are not well characterized. We present a case of prostate carcinoma metastatic to the dura that was initially thought to be a large isodense subdural hematoma and was treated with surgical decompression. We also review the literature regarding prostate dural metastases mimicking subdural hematomas and discuss the relevant imaging findings, treatments, and outcomes. Dural metastasis should be considered when a patient with known metastatic prostate cancer presents with imaging evidence of a subdural mass.

show abstract

Subdural Hematoma due to Dural Metastasis: A Systematic Review on Frequency, Clinical Characteristics, and Neurosurgical Management

Pahwa,

Tayal,

Chandra

et al. 2024

J Neurol Surg A Cent Eur Neurosurg

View full text Add to dashboard Cite

Background Subdural hematoma (SDH) occasionally accompanies dural metastasis and is associated with high recurrence rate, significantly impacting patient morbidity and mortality. This systematic review aims to evaluate the characteristics, management options, and outcomes of patients with SDH associated with dural metastasis. Methods A comprehensive search of the PubMed and Cochrane databases was conducted for English-language studies published from inception to March 20, 2023, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The authors reviewed cases of histopathologically confirmed SDH with non-central nervous system (non-CNS) tumor metastasis, focusing on therapeutic management of SDH. Statistical analysis was performed using SPSS software, with a significance level set at 0.05. Results This review included 32 studies comprising 37 patients with 43 SDH cases associated with dural metastasis. Chronic SDH was the most frequently observed presentation (n = 28, 65.12%). The systemic malignancies most commonly associated with SDH due to dural metastasis were prostate carcinoma (n = 9, 24.32%) and gastric carcinoma (n = 5, 13.51%). A statistically significant association was found between metastatic melanoma and subacute SDH (p = 0.010). The majority of patients were treated with burr holes (n = 15, 40.54%) or craniotomies (n = 14, 37.84%), with no statistically significant difference in mortality rates between the two techniques (p = 0.390). Adjuvant therapy was administered to a limited number of patients (n = 5, 13.51%), including chemotherapy (n = 2, 5.41%), whole brain radiotherapy (n = 1, 2.70%), a combination of chemotherapy and whole brain radiotherapy (n = 1, 2.70%), and transcatheter arterial chemoembolization (n = 1, 2.70%). The overall recurrence rate was 45.95% (n = 17), with burr holes being the most common management approach (n = 4, 10.81%). Within a median of 8 days, 67.57% (n = 25) of patients succumbed, primarily due to rebleeding (n = 3, 8.11%), disseminated intravascular coagulation (n = 3, 8.11%), and pneumonia (n = 3, 8.11%). Conclusion This review highlights the need for improving existing neurosurgical options and exploring novel treatment methods. It also emphasizes the importance of dural biopsy in patients with suspected metastasis to rule out a neoplastic etiology.

show abstract

Post-traumatic acute-on-chronic subdural haematoma: an unusual presentation of skull metastasis from prostate carcinoma

Cited by 3 publications

References 8 publications

Dural metastasis of prostate carcinoma mimicking intracranial hematoma: a case report and literature review

Dural metastasis of prostate carcinoma mimicking intracranial hematoma: a case report and literature review

Holohemispheric Prostate Carcinoma Dural Metastasis Mimicking Subdural Hematoma: Case Report and Review of the Literature

Subdural Hematoma due to Dural Metastasis: A Systematic Review on Frequency, Clinical Characteristics, and Neurosurgical Management

Contact Info

Product

Resources

About