Document Detail


Dural metastasis from prostatic adenocarcinoma mimicking chronic subdural hematoma.
MedLine Citation:
PMID:  19427220     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dural metastasis is rare. In most reported cases, brain CT scan findings are mistaken for subdural hematoma or meningioma. We present here a 72-year-old male with a history of headache and progressive mental status changes. Brain CT scans suggested chronic subdural hematoma. However, the only surgical findings were diffuse thickening of the dura and sclerosis of the temporal bone. Histopathology revealed metastatic prostatic carcinoma. As the surgical approach and prognosis of chronic subdural hematoma and metastatic tumors are completely different, the differential diagnosis of these diseases is very important. A contrast-enhanced brain CT scan is recommended for patients who could possibly have dural metastases.
Authors:
Yu-Kai Cheng; Ting-Chung Wang; Jen-Tsung Yang; Ming-Hsueh Lee; Chen-Hsing Su
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-07
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  16     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-14     Completed Date:  2009-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  1084-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Chang Gung Memorial Hospital, Chia-Yi Center, Chang Gung University, Putz City, Chia-Yi, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / diagnosis,  pathology,  secondary*
Aged
Brain / pathology,  radiography,  surgery
Diagnosis, Differential
Dura Mater*
Hematoma, Subdural, Chronic / diagnosis*,  pathology
Humans
Magnetic Resonance Imaging
Male
Meningeal Neoplasms / diagnosis,  pathology,  secondary*
Prostatic Neoplasms / pathology*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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