Dural Metastasis with Subdural Hemorrhage from Prostate Cancer
Kantenga Dieu Merci Kabulo,
Nathaniel Harunangoni Zimani,
Aaron Masiiwe Musara,
Patrice Ntenga,
Khita Phiri,
Kazadi Kaluile Ntenga Kalangu,
Rudo Makunike Mutasa
Issue:
Volume 3, Issue 6, December 2017
Pages:
49-53
Received:
13 August 2017
Accepted:
28 August 2017
Published:
18 December 2017
Abstract: A subdural hematoma (SDH) is usually traumatic in etiology. Non-traumatic instances of SDH are uncommon, and are rarely due to metastases involving the dura. We report a 68-year-old male patient with a one day history of, not communicating and not mobilizing and a 2 weeks history of generalized body weakness. A computed tomography (CT) scan revealed a left sided hypo-dense subdural collection. A diagnosis of left sided chronic subdural hematoma (SDH) was made. Burr hole drainage of the hematoma was performed. Intra- operatively, liquefied blood was drained and a thick dura with reddish material infiltrating the dura was noted. A specimen of the dura was submitted for histology and revealed metastatic carcinoma, confirmed at immunohistochemistry to be of prostatic origin. Conclusion: Metastatic disease should be considered when there is a chronic subdural hematoma with no history of trauma and an unusual dural appearance on imaging.
Abstract: A subdural hematoma (SDH) is usually traumatic in etiology. Non-traumatic instances of SDH are uncommon, and are rarely due to metastases involving the dura. We report a 68-year-old male patient with a one day history of, not communicating and not mobilizing and a 2 weeks history of generalized body weakness. A computed tomography (CT) scan reveale...
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Brain Metastases in a Patient with Ovarian Cancer
Kantenga Dieu Merci Kabulo,
Patrice Nday Ntenga,
Nathaniel Hurunangoni Zimani,
Kazadi Kaluile Ntenga Kalangu,
Rudo Makunike Mutasa
Issue:
Volume 3, Issue 6, December 2017
Pages:
54-58
Received:
22 August 2017
Accepted:
4 September 2017
Published:
18 December 2017
Abstract: Brain metastases are associated with a poor prognosis. Depending on the patient’s age, functional status, extent of systemic disease, and number of metastases. We report a case of 22-year-old female who presented with 2 months history of headache and vomiting and 1 day history of not communicating, neck stiffness, and generalized body weakness. Patient has been unwell for 2 months after she had collapsed at school 2 months prior complaining of severe headache, she allegedly stroked one month prior with left sided weakness. No history of trauma and seizures but had history of falling and remaining unconscious for unspecified period of time. No history of chronic illness and no family history of malignancies. Brain CT scan and MRI documented multiple lobulated irregularly enhancing brain parenchymal mass lesions of variable sizes, patient was taken to theatre and burr hole for brain tumor biopsy was done and specimen taken for histology which confirmed metastatic carcinoma and the tumor immunoreacted negatively to TTF1 and positively to CK7. Treatment of brain metastasis has evolved over the years from WBRT only for most patients to multimodal therapy including surgical resection, if feasible, followed by Whole brain Radiotherapy (WBRT) and/or chemotherapy.
Abstract: Brain metastases are associated with a poor prognosis. Depending on the patient’s age, functional status, extent of systemic disease, and number of metastases. We report a case of 22-year-old female who presented with 2 months history of headache and vomiting and 1 day history of not communicating, neck stiffness, and generalized body weakness. Pat...
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Hydatid Cyst of the Posterior Cerebral Fossa: An Uncommon Location
Marcellin Bugeme,
Jacques Mbaz Musung,
Daniel Gams Massi,
Olivier Mukuku
Issue:
Volume 3, Issue 6, December 2017
Pages:
59-61
Received:
27 October 2017
Accepted:
29 November 2017
Published:
27 December 2017
Abstract: The authors report a case of hydatid cyst of the posterior fossa in a 22-year-old patient. He lived in a poorly sanitary environment and remains in close contact with the dogs. This young patient clinically presented with a raise intracranial pressure and cerebellar syndrome. The diagnosis of hydatid cyst was made on brain CT scan, which revealed a large, septated cystic lesion with parietal lamellar calcifications without contrast enhancement.
Abstract: The authors report a case of hydatid cyst of the posterior fossa in a 22-year-old patient. He lived in a poorly sanitary environment and remains in close contact with the dogs. This young patient clinically presented with a raise intracranial pressure and cerebellar syndrome. The diagnosis of hydatid cyst was made on brain CT scan, which revealed a...
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