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Unusual association of diseases/symptoms
CASE REPORT
Post-traumatic acute-on-chronic subdural haematoma: an unusual presentation of skull metastasis from prostate carcinoma
  1. Laura Lippa1,
  2. Alfonso Cerase2,
  3. Filippo Cecconi3,
  4. Francesco Cacciola1
  1. 1Department of Neurosurgery, Azienda Ospedaliera Universitaria Senese, Siena, Italy
  2. 2Department of Neuroradiology, Azienda Ospedaliera Universitaria Senese, Siena, Italy
  3. 3Department of Urology, Azienda Ospedaliera Universitaria Senese, Siena, Italy
  1. Correspondence to Dr Francesco Cacciola, francesco.cacciola{at}gmail.com

Summary

The authors report on a case of an 80-year-old man operated on urgently for evacuation of an acute-on-chronic subdural haematoma after a minor blunt head trauma that had occurred the day before. The haematoma was revealed by a plain CT scan on arrival at the accident and emergency department. During operation, the calvarial bone and dura mater were found to be of pathological aspect and histology subsequently confirmed metastatic involvement from a known primary prostate cancer (PC). After an initial successful technical and clinical result, the patient worsened again due to a rebleed and succumbed soon after. The awareness of the possibility of osteodural metastatic involvement could have led to the adjunct of a contrast-enhanced CT study and altered the treatment strategy.

  • trauma
  • neuroimaging
  • prostate cancer
  • neurosurgery

https://doi.org/10.1136/bcr-2017-221187

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    Footnotes

    • Contributors All authors meet the ICMJE criteria for authorship. In particular, LL was predominantly involved in conception and design as well as drafting of the work. AC added radiological data and pertaining explanation as well as integration of it into the work. FC predominantly added and revised information pertaining to prostate cancer and revised, corrected and generated the final form of the work.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.