Subdural Hematoma Associated with Dural Metastasis from Paranasal Sinus Cancer: A Case Report and Review of the Literature

Abstract

We report a 72-year-old woman who developed a subdural hematoma following dural metastasis from paranasal sinus carcinoma. Subdural hematoma with malignant neoplasm is a serious condition seen only in advanced stages. The prognosis is poor, but appropriate measures can help the patient. Head and neck surgeons should note this unusual clinical entity.

Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature

“…The main causes involve aneurysmal rupture,[367891011121314151617181920212223242526272829303132333435363738394041424344] rupture of perisylvian cortical arteries[4546474849505152535455] and tumors and neoplastic diseases. [565758596061626364656667] Some other rare causes include moyamoya disease,[6869] arachnoid cyst,[70] dural cavernous angioma,[71] dural arteriovenous fistula,[72] myelodysplastic/myeloproliferative disorder[73] and polycythemia vera. [74] The most common cause of spontaneous ASDH was aneurysmal rupture (135 cases about 75.8% of cases).…”

“…[5657585960616263646566676869707172] Intracranial and metastatic extracranial tumors with involvement of dura matter can cause ASDH. These cases include metastatic seminoma,[56] meningioma,[5758] metastatic lung cancer,[5960] anaplastic astrocytoma of brain,[61] choriocarcinoma,[62] metastatic adenocarcinoma of prostate,[63] chronic myeloblastic leukemia,[64] malignant pleural mesothelioma,[65] metastatic dural carcinomatosis[66] and paranasal sinus cancer.…”

Death by Subdural Hematoma with Metastatic Carcinoma of Unknown Origin: An Autopsy Case Report

“…4) Subdural hematoma secondary to dural metastasis is quite rare or even occurs coincidentally and not in a causative way. 5,6) The first case of the spontaneous subdural hematoma associated with dural metastasis was reported in 1904 and only about 70 cases had been reported in the literature. 1) Subdural hematomas due to dural metastases are quite distinct from spontaneous hematomas related to coagulation disorders in cancer patients.…”

Subdural Hematoma Associated With Dural Metastasis-Case Report-

“…The clinical features of the 51 reported 1-9,11-15, [17][18][19][20][21][22][24][25][26][27] and present cases are summarized in Table 1. The most common primary site of the tumor was stomach in 13 cases, followed by the prostate gland in 10, and the breast in seven.…”

“…27) Since then, only 50 cases of such spontaneous subdural hematoma have been reported. 1-9,11-15, [17][18][19][20][21][22][24][25][26][27] Here, we report another case and describe the clinical features and management.…”