title: Dural metastases in chronic myeloid leukemia presenting as subdural hematoma.
abstract: Subdural hematoma (SDH) has been reported in 0.5-4% of all intracranial     metastatic tumors. Chronic SDH has been reported in intracranial metastases from     both solid and haematological malignancies. Here we report recurrent SDH in a     patient with chronic myeloid leukaemia (CML) following dural metastases. An     elderly male patient a known case of CML was admitted to our casualty with     symptoms of headache and altered sensorium and imaging revealed a large right     fronto temporo parietal chronic SDH. This was surgically managed and     histopathology of the duramater and subdural membrane confirmed infiltration     with leukemic cells. The pathogenesis of chronic SDH in malignancies is     multifactorial and this case report throws light on leukemic infiltration of     duramater as a cause for chronic SDH other than coagulopathy.
authors.affiliation: SVIMS, Department of Neurosurgery, Tirupati Ap, India.
authors.forename: Bodapati Chandramouliswara
authors.initials: BC
authors.lastname: Prasad
authors.forename: Vemula Venkata Ramesh
authors.initials: VV
authors.lastname: Chandra
authors.forename: Gangumolu
authors.initials: G
authors.lastname: Varaprasad
mesh_terms: D001932:Brain Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D004388:Dura Mater / Q000473:pathology; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications*; D017254:Leukemic Infiltration / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis / Q000175:diagnosis* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods