Subdural hematoma associated with skull and dural metastasis of gastric carcinoma. a case report

Tseng, Kuan-Yin; Hueng, Dueng-Yuan; Ma, Hsin‐I

doi:10.5137/1019-5149.jtn.3696-10.3

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…Our case differs from previously reported cases of gastric adenocarcinoma with dural metastases [4][5][6][7][8][9][10][11][12][13] (Table 1). First, the original SDH was a pachymeningeal en plaque tumor.…”

Section: Observationscontrasting

confidence: 99%

Pachymeningeal en plaque metastasis from gastric cancer mimicking subdural hematoma: illustrative case

Wu¹,

Lam²,

Kuan

et al. 2023

Journal of Neurosurgery: Case Lessons

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BACKGROUND Pachymeningeal metastasis associated with gastric cancer, especially in its early stages, is extremely rare. OBSERVATIONS The authors describe a 77-year-old man with a past medical history of lung cancer and previously treated chronic subdural hematoma who was admitted to their hospital because of hematemesis and newly diagnosed gastric cancer. He became unconscious during the hospitalization. The preoperative brain imaging studies had the appearance of recurrent subdural hematoma and extracranial tumor with skull invasion. Craniotomy revealed pachymeningeal carcinomatosis and en plaque metastasis of tumor. The histopathology of the tumors was consistent with metastatic gastric adenocarcinoma. LESSONS This is the first reported case of metastatic gastric cancer as a pachymeninges-based en plaque entity. This report highlights the rare radiological presentation and operative findings in this case. The authors also summarize those case reports associated with dural metastasis arising from gastric cancer.

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Section: Observationscontrasting

confidence: 99%

Pachymeningeal en plaque metastasis from gastric cancer mimicking subdural hematoma: illustrative case

Wu¹,

Lam²,

Kuan

et al. 2023

Journal of Neurosurgery: Case Lessons

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“… 12 17) Also, many case reports showed a relationship between brain metastasis of malignant neoplasm and CSDH. 1 8 10 16) Authors suggested a multifactorial pathogenesis of CSDH in malignancy such as dural vessel occlusion and rupture by tumor cells, tumor necrosis and chemotherapy-induced thrombocytopenia or disseminated intravascular coagulation secondary to an underlying malignancy. 11) Authors suggested that CSDH seems easily to occur in patients with malignant neoplasm.…”

Section: Discussionmentioning

confidence: 99%

Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases

Kim

Moon

Kim

et al. 2015

Korean J Neurotrauma

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IntroductionA chronic subdural hematoma (CSDH) is a well-known disease of intracranial hemorrhage in old people. The burr hole trephination is the usual treatment of CSDH with a good outcome and prognosis.Despite the simple treatment of CSDH, the recurrence rate of CSDH is not low. The recurrence rate of CSDH ranged between 10% and 33% in previous studies.26) Many studies have been reported on factors associated with the recurrence of CSDH; however, the results were inconsistent. The purpose of this study was to identify risk factors for the recurrence of CSDH. We hypothesized that some factors including age, sex, underlying disease, radiological images and surgical procedures affect the recurrence of CSDH. Series of 368 surgical patients were retrospectively evaluated and analyzed to support this hypothesis. Materials and Methods Patient selectionWe retrospectively evaluated 368 patients who underwent a surgery with CSDH. The patients visited the department of neurosurgery at Seoul National University Bundang Hospital between January 1993 and December 2013. Objective: Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the determination of risk factors associated with the recurrence of CSDH. Methods: We retrospectively reviewed 368 consecutive patients with CSDH treated by burr hole trephination. Univariate and multivariate analysis were performed to describe the relationships between clinical and radiological factors as well as the recurrence of CSDH. Results: Totally 31 (8.4%) patients experienced a recurrence of CSDH in our study. The male group (10.2%) had a higher recurrence rate than the female group (3.1%). Also patients with malignant neoplasm history showed a high recurrence rate (17.9%). The recurrence rate of single layer CSDH (13.1%) and isodensity CSDH (11.7%) was highly significant also. Conclusion: Sex, history of malignant neoplasm and the hematoma type on computed tomography were factors related with the recurrence of CSDH in our study. These findings may be supportive in the identification of patients at risk for a recurrence of CSDH. CLINICAL ARTICLE Korean

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“…In our case, there were no significant signs of disseminated intravascular coagulation (DIC) and no major coagulation problems. Retrograde seeding by the valveless vertebral venous system (Barton’s plexus) has been thought to be a cause for bone and dural metastasis from prostate carcinoma [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Dural Prostate Metastasis Presenting Itself with Subdural Hematoma

Önen¹

2017

North Clin Istanbul

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Subdural hematoma associated with skull and dural metastasis of gastric carcinoma. a case report

Cited by 8 publications

References 9 publications

Pachymeningeal en plaque metastasis from gastric cancer mimicking subdural hematoma: illustrative case

Pachymeningeal en plaque metastasis from gastric cancer mimicking subdural hematoma: illustrative case

Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases

Dural Prostate Metastasis Presenting Itself with Subdural Hematoma

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