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

Autor: Kokot K; Students' Scientific Circle of Neurosurgery, Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Dzierżanowski J; Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Krakowiak M; Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Fercho J; Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland.; Cardiac Surgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Yuser R; Students' Scientific Circle of Neurosurgery, Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Kosel L; Students' Scientific Circle of Neurosurgery, Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Nowiński E; Students' Scientific Circle of Neurosurgery, Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Nacewicz J; Department of Neurosurgery, Provincial Specialist Hospital in Słupsk, Hubalczyków 1, Słupsk 76-200, Poland., Modliborska D; Department of Neurosurgery, Provincial Specialist Hospital in Słupsk, Hubalczyków 1, Słupsk 76-200, Poland., Szmuda T; Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland., Zieliński P; Neurosurgery Department, Medical University of Gdansk, Gdansk 80-952, Poland.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Feb 06; Vol. 2024 (2), pp. rjae014. Date of Electronic Publication: 2024 Feb 06 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae014
Abstrakt: 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.
Competing Interests: None declared.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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