Turkish Neurosurgery 2014 , Vol 24 , Num 6
Intracranial Dural Metastasis Presenting as Chronic Subdural Hematoma: A Case Report and Review of Literature
Kumar ASHISH1, Kuntal DAS1, Anant MEHROTRA1, Awadhesh JAISWAL1, Sushila JAISWAL2, Rabi SAHU1, Arun SRIVASTAV1
1Sanjay Gandhi Postgraduate Institute of Medical Sciences, Department of Neurosurgery, Lucknow, Uttar Pradesh, India
2Sanjay Gandhi Postgraduate Institute of Medical Sciences, Department of Pathology, Lucknow, Uttar Pradesh, India
DOI : 10.5137/1019-5149.JTN.9708-13.0 Intracranial dural metastasis presenting as chronic subdural hematoma is a relatively rare clinical scenario. There are different theories explaining the formation of subdural hematoma in such cases. In this report we present a case of chronic subdural hematoma in a 44-yearold lady who did not have any clinical evidence of primary tumour anywhere in the body. This lady died in spite of two emergency surgeries. During second surgery, the subdural membrane was sent for histopathological examination which revealed presence of metastatic tumour. We discuss the case along with a review of literature and recommend subdural membrane biopsy in all cases of chronic subdural hematoma. Keywords : Dural metastasis, Chronic SDH, Burr hole, Craniotomy, Histopathology
Corresponding author : Awadhesh Jaiswal, jaiswal_dr_2002@yahoo.co.in