Dural prostate adenocarcinoma metastasis with subdural hematoma mimicking the appearance of an epidural hematoma

Dorsi, Michael J.; Zenonos, George; Hsu, Wesley; Huang, Judy

doi:10.1016/j.clineuro.2010.02.009

« Previous Next »Clinical Neurology and Neurosurgery
Volume 112, Issue 6 , Pages 501-504, July 2010

Dural prostate adenocarcinoma metastasis with subdural hematoma mimicking the appearance of an epidural hematoma

Michael J. Dorsi
- Department of Neurosurgery, Johns Hopkins Medical Institutions, Baltimore, MD, United States
- Department of Neurology, University of California Los Angeles, Los Angeles, CA, United States
- These authors contributed equally to the study.
- Corresponding author at: 635 Charles E Young Drive South, Neuroscience Research Building, Room 404, Los Angeles, CA 90095, United States. Tel.: +1 443 415 5905.
George Zenonos
- Department of Neurosurgery, Johns Hopkins Medical Institutions, Baltimore, MD, United States
- These authors contributed equally to the study.
Wesley Hsu
- Department of Neurosurgery, Johns Hopkins Medical Institutions, Baltimore, MD, United States
Judy Huang
- Department of Neurosurgery, Johns Hopkins Medical Institutions, Baltimore, MD, United States

Received 4 June 2009; received in revised form 3 December 2009; accepted 18 February 2010.

Abstract

Prostatic adenocarcinoma presenting as metastatic disease to the nervous system is a rare pathologic entity and has infrequently been reported over the last several years. Furthermore, although its presentation as chronic subdural hematomas has been repeatedly reported previously in the literature, to our knowledge there is no report of its appearance mimicking an epidural hematoma on noncontrast head CT. Here we describe the clinical presentation, evaluation and surgical intervention of a patient with a dural prostate carcinoma metastasis with chronic subdural hematoma mimicking an epidural hematoma.

Keywords: Prostate adenocarcinoma, Dural metastasis, Subdural hematoma, Epidural hematoma, Craniotomy