Combined chronic subdural and acute epidural hematoma secondary to metastatic hepatocellular cancer: case report

We report a case of combined chronic subdural and acute epidural hematoma caused by metastatic hepatocellular cancer of the dura mater. A 44-year-old woman, who had been under treatment for hepatic cancer for one year, presented with right hemiparesis. MRI revealed a chronic subdural hematoma on the...

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Bibliographic Details
Published inNō shinkei geka Vol. 27; no. 4; p. 331
Main Authors Endo, M, Hamano, M, Watanabe, K, Wakai, S
Format Journal Article
LanguageJapanese
Published Japan 01.04.1999
Subjects
Acute Disease
Adult
Brain Neoplasms - complications
Brain Neoplasms - secondary
Carcinoma, Hepatocellular - complications
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - secondary
Chronic Disease
Dura Mater
Female
Hematoma, Epidural, Cranial - etiology
Hematoma, Subdural - etiology
Humans
Liver Neoplasms - pathology
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Summary:We report a case of combined chronic subdural and acute epidural hematoma caused by metastatic hepatocellular cancer of the dura mater. A 44-year-old woman, who had been under treatment for hepatic cancer for one year, presented with right hemiparesis. MRI revealed a chronic subdural hematoma on the left fronto-parietal region with subgaleal and epidural metastasis. The patient was found comatose 7 days later. A huge epidural hematoma in the left parietal region was disclosed with CT scan. She died of hepatic failure despite the evacuation of the hematoma. This is the first reported case with a combined subdural and epidural hematoma secondary to metastatic brain tumor of the dura mater.
ISSN:0301-2603