کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3245007 | 1206584 | 2013 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Subdural hemorrhage from a hepatoma due to metastasis Subdural hemorrhage from a hepatoma due to metastasis](/preview/png/3245007.png)
Dural metastasis with subdural hemorrhage is very rare. We report a 69-year-old woman who visited our emergency department with a history of nausea and vomiting for 6 days. Computed tomography of the brain with enhancement showed a space-occupying lesion over temporal skull with subdural hematoma. Abdominal sonography revealed a liver tumor. Emergent craniotomy and resection of intracranial tumor were performed because of impaired consciousness on the 4th day after admission. A pathological analysis of the cranial lesion later confirmed the diagnosis of metastatic hepatocellular carcinoma with skull involvement. After a complete survey of her hepatoma, she received tumor embolization and was discharged. However, 6 months later, she died because of multiple brain metastases, leading to subdural hemorrhage and intracranial hemorrhage. Although intracranial metastatic lesions are rare, they are life-threatening because of the lack of obvious history that usually leads to delayed diagnosis. A literature review was performed to shed light on the frequency and importance of this rare but important clinical entity.
Journal: Journal of Acute Medicine - Volume 3, Issue 4, December 2013, Pages 148–151