medigraphic.com
ISSN 2225-4676 (Electronic)

2021, Number 3

<< Back Next >>

Rev Cubana Neurol Neurocir 2021; 11 (3)

Chronic recurrent subdural hematoma as a form of presentation of leptomeningeal carcinomatosis

Mosquera BG, Téllez IR, Betharte SY, Hernández GEH, Rodríguez AAN, Toledo CY

Language: Spanish
References: 16
Page: 1-17
PDF size: 431.29 Kb.


ABSTRACT

Objective: To describe a rare case of carcinomatous meningitis in a patient with lung cancer who presented with recurrent chronic subdural hematoma.
Clinical case report: We report the case of a 57-year-old male patient with a history of being an inveterate smoker and a diagnosis of lung neoplasia. His study revealed cranial metastasis in the left parietal region. While awaiting oncological treatment for his primary neoplasm, he began to suffer headaches and right hemiparesis. A left hemispheric chronic subdural hematoma was verified in computerized axial tomography. Surgery was performed on it, a month later it was collected. A leptomeningeal carcinomatosis was suspected, which was confirmed by histological study of the membrane. The patient died due to compression syndrome of the superior vena cava, secondary to lung neoplasia.
Conclusions: The recurrent chronic subdural hematoma described was caused by carcinomatous leptomeningitis and it was of interest because it was the first to be diagnosed. Skull tomography helped the diagnosis and behaved as a poor prognostic factor. Surgical treatment in this case was the choice and the unfavorable evolution of the patient did not give an option to oncological treatment.


REFERENCES

  1. Boukas A, Sunderland GJ, Ross N. Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review on the literature. Surgical Neurology International. 2015;6:30.

  2. Manteroloa A, Romero P, Domínguez MD, Villafranca E. Carcinomatosis meníngea. Oncológicas. En: Libro Electrónico de Temas de Urgencia; 2005 [citado: 08/06/2020]. Disponible en: https://1library.co/document/yn9epp1q-carcinomatosis-meningea-ana-manterola-p-romero-m-martinez-md-dominguez-e-villafranca.html

  3. Ramos Clemente- Romero JI, Duran Ferreras E, Pérez Ramos ME, Domínguez Herrera JM. Un paciente con carcinomatosis meníngea por invasión dural de metástasis craneal. Rev Clin Med Fam. 2010;3(3):237-9.

  4. Kimura S, Kotani A, Takimoto T, Yoshino A, Katayama Y. Acute aggravation of subdural fluid collection associated whit dural metastasis of malignant neoplasms: case report and review of the literature. Brain Tumor Pathol. 2014;31:299-303.

  5. Mirrakhimov AE, Khan FN. Epidural brain metastases in patient with erly onset pancreatic cancer: a case report and literature review. Oncological Medicine. 2012 [citado: 08/06/2020];(6). Disponible en: https://pubmed.ncbi.nlm.nih.gov/23119207/.

  6. Bokka S, Trivedi A. Histopathological study of the outer membrane of the dura mater in chronic sub dural hematoma: Its clinical and radiological correlation. Asian J Neurosurg. 2016 Jan-Mar [citado: 08/06/2020];11(1):34-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732239/

  7. Zamora Bastidas TO, Bolaños Bravo HJ, Cáceres Acosta MF. Carcinomatosis meníngea, un desafio diagnóstico. Reporte de un caso. Revista Facultad de Ciencias de la Salud del Cauca. 2018 [citado: 09/07/2020];20(1):46-9. Disponible en: https://revistas.unicauca.edu.co/index.php/rfcs/article/view/946

  8. Rodríguez Mowbray JR, Macias Montero R, Gomez-Ulla Astray J. Carcinomatosis meníngea: distintos casos con los mismos resultados. Medicina paleativa. 2014 [citado: 08/06/2020];21(3):121-5. Disponible en: https://www.elsevier.es/es-revista-medicina-paliativa-337-articulo-carcinomatosis-meningea-distintos-casos-con-S1134248X12000778

  9. Kim J, Moon J, Kim T, Ahn S, Hwang G, Bang J, et al. Risk factors analysis for the recurrence of chronic subdural hematoma: A review of 368 consecutive surgical cases. Korean J Neurotrauma. 2015 [citado: 08/06/2020];11(2):63-9. Disponible en https://pubmed.ncbi.nlm.nih.gov/27169067/

  10. Kyeong Seok L. Chronic subdural hematoma in the aged. Aged, Trauma or Degeneration. J Korean Neurosurg Soc. 2016 [citado: 08/06/2020];59(1):1-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26885279/

  11. Pérez Rodríguez RM, Cairo Saez G, Rodríguez Monteagudo JL. Hematoma Subdural crónico sin evidencia de trauma previo. Medicen Electrón. 2018.jul-sep. [citado: 08/06/2020];22(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432018000300016.

  12. Andrade López A, Blanco Teherán C, Lara Ortega R, Moscote Salazar LR. Hematoma subdural crónico: atención neurointensiva. Revista Cubana de Medicina Intensiva y Emergencias. 2018 [citado: 09/07/2020];17. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/560/html_177.

  13. Le Rhum E, Taillibert S, Cahmberlain MC. Carcinomatous meningitis. Leptomeningeal metastases in solid tumors. Surgical Neurology International. 2013;4(Suppl 4):265-288. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656567/

  14. Teramto Sh, Tsunoda A, Kawamura K, Sugiyama N, Saito R, Maruki Ch. Malignant subdural hematoma associated with high-grade meningioma. Surg J. 2018 [citado: 08/06/2020];4:91-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995683/

  15. Kim H, Yi KS, Kim WD, Son SM, Yang Y, Kwon J, et al. Sequential spinal and intracraneal dural metastases in gastric adenocarcinoma. A case report. World J Gastroenterol. 2018 Feb [citado: 08/06/2020];24(5):651-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799866

  16. Onen MR, Kayalar AE, HaciyakupogluE, Tosun I, Kir G, Naderi S, et al. Dural prostate metastasis presenting as subdural hematoma. North Clin Istanb. 2017 [citado: 08/06/2020];4(3):279-82. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29270581/.




2020     |     www.medigraphic.com