PMU-Autor/inn/enAl-Schameri Abdul Rahman
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 additional treatment. A craniotomy was performed and due to intraoperative suspicious findings, histopathological 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 radiological course, and discuss the potential association of CSH with meningeal metastasis and bilateral papilledema.
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