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. 2012 May 1;2012(5):7.
doi: 10.1093/jscr/2012.5.7.

Dural prostate metastasis resembling a chronic subdural haematoma

C O'Meara  1 , T Mahasneh  1 , P Wilson  1 , B I'Ons  1 , D Alkhawaja  1
Affiliations

Dural prostate metastasis resembling a chronic subdural haematoma

C O'Meara et al. J Surg Case Rep. .

Abstract

Subdural hematoma (SDH) is a common neurosurgical pathology, characteristically recognised on plain CT and can be treated with simple and effective surgical intervention. In contrast, dural metastatic adenocarcinoma of the prostate with SDH and malignant extension into the subdural membranes is extremely rare. We describe the case of a 62-year old Caucasian male, provide a brief review of the literature, and explore the potential role of neoangiogenesis and disseminated intravascular coagulopathy in SDH development.

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Figures

Fig. 1
Fig. 1
Right acute on chronic SDH
Fig. 2
Fig. 2
Right acute on chronic SDH
Fig. 3
Fig. 3
Histopathology Right subdural membranes: extensive infiltration by poorly differentiated adenocarcinoma cells with glandular infiltration (x10).
Fig. 4
Fig. 4
Histopathology Right subdural membranes: Immunoperoxidase staining for PSA (x4)
See this image and copyright information in PMC

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