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Transdural metastasis from adenocarcinoma of the prostate mimicking subdural hematoma: case report
Jeffrey M Tomlin1, Cargill H Alleyne
1Department of Neurosurgery, University of Rochester Medical Center, New York 14640, USA.
Background:
Metastasis of prostatic adenocarcinoma to the nervous system is extremely rare and has been infrequently reported over the last several years. We describe the presentation, evaluation, and surgical intervention of a case of metastatic prostate carcinoma to the dura.
Case Description:
This patient presented with symptoms and physical findings consistent with a subacute subdural hematoma in the setting of recently diagnosed adenocarcinoma of the prostate. He underwent a craniotomy for presumed subdural hematoma. The pathologic diagnosis was consistent with metastatic prostatic carcinoma.
Conclusion:
This case report demonstrates the need for broad differential diagnosis in the evaluation and treatment of patients presenting with seemingly straightforward subacute subdural hematomas.
