Cases Journal · 2008 · 12 citations · 8 references
MedicineOncologySurgeryMetastasisNeuro-oncologyOncologic SurgeryBrain MetastasesBrain MetastasisBrain TumorsMetastatic Brain TumorsNeuro-oncologic SurgerySubdural HematomaChronic Subdural HematomaPalliative Care ManagementSubdural Hematoma Clinical PresentationSubdural Hematoma DiagnosisSubdural Hematoma DifferentiationSubdural Hematoma NeuroimagingSubdural HemorrhageSubdural Space
BACKGROUND: Subdural effusion in the setting of dural metastasis is very rare and may be difficult to be distinguished from chronic subdural hematoma. CASE PRESENTATION: A 44-year old woman with gastric adenocarcinoma was presented with headache and a hypodense subdural collection in right fronto-parietal in brain CT. Burr-hole irrigation was performed with the impression of chronic subdural hematoma, but nonhemorrhagic xantochromic fluid was evacuated without malignant cell. Brain CT on the 11th day depicted fluid re-accumulation and noticeable midline shift, necessitating craniotomy and removing the affected dura. CONCLUSION: Because the affected dura can be supposed as the main source of subdural effusion, resection of the involved dura is obligatory for the appropriate palliative management of such patients.
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Subdural Hematoma Associated With Dural Metastasis-Case Report-
Naoto Kunii, Akio Morita, Gakushi Yoshikawa et al. · Neurologia medico-chirurgica · 2005 · 37 citations · Full text