title: Metastatic coagulopathic subdural hematoma: A dismal prognosis.
abstract: BACKGROUND
  Dural metastases have been found in about 8-9% of patients who died of cancer, in most autopsy series. Dural metastases presenting with chronic subdural hematoma are rare, with only about 55 cases reported in the literature.
  
  
  METHODS
  We discuss the case of a 72 year old gentleman with prostate cancer who presented with a chronic subdural hematoma which was drained surgically. He was found to have disseminated intravascular coagulation (DIC) and recurrence of the subdural hematoma for which further drainage was required. After the second drainage of the chronic subdural hematoma, dural metastases were diagnosed from the pathology specimens.
  
  
  CONCLUSIONS
  On reviewing the literature, 25 cases of dural metastases with chronic subdural hematoma and coagulopathy were found. These cases were characterized by the fact that they had a very poor clinical outcome in spite of surgical drainage. This combination could be a distinct entity and its recognition is important to guide management of this rare condition.
authors: Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada.
authors: Kuriakose J
authors: KJ
authors: George
authors: Anthony
authors: A
authors: Lau
authors: Michael
authors: M
authors: Ellis
authors: Tim-Rasmus
authors: TR
authors: Kiehl
authors: Michael G
authors: MG
authors: Fehlings