Transdural metastasis from adenocarcinoma of the prostate mimicking subdural hematoma: case report.
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.


METHODS
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.


CONCLUSIONS
This case report demonstrates the need for broad differential diagnosis in the evaluation and treatment of patients presenting with seemingly straightforward subacute subdural hematomas.
Tomlin
Jeffrey M
JM
Department of Neurosurgery, University of Rochester Medical Center, New York 14640, USA.
Alleyne
Cargill H
CH
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D003399:Craniotomy; D003937:Diagnosis, Differential; D004388:Dura Mater; D006408:Hematoma, Subdural / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed