Clinical ImagesHemispheric Chronic Subdural Hematoma Concealing Subdural Metastases: Terrible Surprise Behind Routine Emergency Department Consultation
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Cited by (2)
Purely Meningeal Intracranial Relapse of Melanoma Brain Metastases After Surgical Resection and Immunotherapy as a Unique Disease Progression Pattern: Our Experience and Review of the Literature
2020, World NeurosurgeryCitation Excerpt :Surgery remains the gold standard for patients suffering from single BM in the clinical context of a controlled or controllable systemic disease.1 Although the final choice for a proper intracranial treatment depends on several factors including the patient's general conditions (age, Karnofsky performance scale status) and disease status (extent of extracranial disease, number, site and size of BMs), in clinical practice, patients with a single or limited melanoma brain metastases (MBMs), good Karnofsky performance scale status, and controlled extracranial disease should undergo surgery followed by radiation therapy.3,4,5 The best available evidence outlines that surgical resection of a single brain metastasis will reduce the recurrence rate in the surgical site and increase the overall patient survival; however, intracranial recurrence is described as a major concern in patients with MM with rates ranging from 48%–55% with local recurrence rates of 20%–40%.2,6,7
When hoofbeats mean zebras not horses: Tumour mimics of subdural haematoma – Case series and literature review
2019, Journal of Clinical NeuroscienceCitation Excerpt :Myeloid sarcomas enhance uniformly with gadolinium while subdural haematomas will not [19,21]. Thickening and uniform enhancement of the pachymeninges can be easily appreciated on MRI in patients with dural metastasis [4,11]. The authors propose a simple algorithm in the decision making in the encounter of all chronic SDHs to exclude SDH mimics, taking into account the clinical history of malignancy as well as radiological features on initial CT scan (Fig. 4).
Conflict of interest statement: The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript. They also confirm adherence to ethical standards and have no financial disclosures that would be a potential conflict of interest with this publication.