{"id":"3770a36d-0e72-4435-8e91-6981b1a04841","slug":"prostate-dural-metastasis-presenting-as-chronic-subdural-hematoma-a-case-report-and-review-of-the-literature","title":"Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature","authors":["Alexandros Boukas","Geraint J. Sunderland","Nicholas Ross"],"abstract":"Background: Malignant disease metastasising to the cranial dura is rare. Dural metastases manifesting as a subdural fluid collection and presenting as a chronic subdural hematoma is an uncommon entity with unknown pathophysiology. Case Description: We present a patient with known prostate cancer metastasising to the cranial dura masquerading as a chronic subdural hematoma. The patient presented with bilateral subdural collections manifesting with confusion and dysphasia. Initial drainage of the larger, symptomatic left side improved only temporarily patient's symptoms. A second drainage of the collection was performed on the same side 5 days later and dural biopsies taken during the same procedure revealed prostate metastases. The patient improved slowly and was discharged to a hospice for palliative care management. Conclusions: Prostate dural metastases should be suspected in patients with known prostate cancer presenting with a subdural collection in the absence of cranial trauma. If decision to drain the subdural collection is taken, then biopsies can be taken the same time as they can pose a diagnostic challenge.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/3770a36d-0e72-4435-8e91-6981b1a04841/featured/hero-1782420956086.png","publishDate":"2015-02-19T00:00:00.000Z","doi":"10.4103/2152-7806.151713","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/4570/SNI-6-30.pdf"}