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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2022; 83(01): e23-e28
DOI: 10.1055/s-0042-1744127
Case Report

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

Madhav Sukumaran
1   Department of Neurological Surgery, Feinberg School of Medicine of Northwestern University, Northwestern Memorial Hospital, Chicago, Illinois, United States
,
Qinwen Mao
2   Department of Pathology, Feinberg School of Medicine of Northwestern University, Northwestern Memorial Hospital, Chicago, Illinois, United States
,
Donald R. Cantrell
3   Department of Radiology, Feinberg School of Medicine of Northwestern University, Northwestern Memorial Hospital, Chicago, Illinois, United States
,
Babak S. Jahromi
1   Department of Neurological Surgery, Feinberg School of Medicine of Northwestern University, Northwestern Memorial Hospital, Chicago, Illinois, United States
,
Matthew B. Potts
1   Department of Neurological Surgery, Feinberg School of Medicine of Northwestern University, Northwestern Memorial Hospital, Chicago, Illinois, United States
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Abstract

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.

Keywords

prostate carcinoma - dural metastasis - subdural hematoma


Publication History

Received: 10 December 2019

Accepted: 11 June 2020

Article published online:
08 March 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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