Details

Autor(en) / Beteiligte

• Pangratz-Daller, Cornelia
• Grimm, Jochen
• Pfaff, Johannes A.R.
• Kraus, Theo F.J.
• Sotlar, Karl
• Rahman Al-Schameri, Abdul
• Kral, Michael
• Griessenauer, Christoph J.
• Schwartz, Christoph

Titel

Meningeal Metastasis Causing Chronic Subdural Hematoma in a Cancer Patient with Bilateral Papilledema and Suspected Cerebral Venous Thrombosis: A Case Report

Ist Teil von

• Journal of neurological surgery. Part A, Central European neurosurgery, 2024-01, Vol.85 (1), p.105-111

Erscheinungsjahr

2024

Beschreibungen/Notizen

• Abstract Meningeal metastasis has been reported as a very rare cause of chronic subdural hematoma (CSH). Here, we report a female patient who had undergone initial burr hole drainage of a CSH at an outside hospital. Postoperatively, the patient additionally suffered from visual impairment due to bilateral papilledema and the patient was eventually transferred to our neurosurgical department for additional treatment. A craniotomy was performed and due to intraoperative suspicious findings, histopathologic samples were obtained that revealed a metastasis of thus far undiagnosed triple negative breast cancer. Furthermore, the patient was suspected to have a partial cerebral venous thrombosis (CVT). Our case report addresses this extremely rare clinical constellation. We provide a detailed overview on our patient's clinical and radiologic course, and discuss the potential association of CSH with meningeal metastasis and bilateral papilledema.