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J Neurol Surg A Cent Eur Neurosurg 2024; 85(01): 105-111
DOI: 10.1055/a-1832-3598
Case Report

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

Cornelia Pangratz-Daller   *
1   Department of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Jochen Grimm   *
2   Department of Neuroradiology, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Johannes A.R. Pfaff 
2   Department of Neuroradiology, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Theo F.J. Kraus
3   Institute of Pathology, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Karl Sotlar
3   Institute of Pathology, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Abdul Rahman Al-Schameri
1   Department of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Michael Kral
1   Department of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Christoph J. Griessenauer
1   Department of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Christoph Schwartz
1   Department of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
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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.

Keywords

cerebral venous thrombosis - chronic subdural hematoma - magnetic resonance imaging - meningeal metastasis - papilledema

* These authors contributed equally.




Publication History

Received: 14 January 2022

Accepted: 19 April 2022

Accepted Manuscript online:
22 April 2022

Article published online:
20 September 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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