Subdural hematoma - a cause of death in the development of a prostatic adenocarcinoma with dural metastases: case report

Vol. 58 No. 4, 2017


Anton Knieling, Madalina Maria Diac, Laura Adriana Riscanu, Roxana Eugenia Zavoi, Diana Bulgaru Iliescu

Non-traumatic subdural hematoma secondary to dural metastases is a rare complication. Dural metastases from a prostate adenocarcinoma occur in the advanced stages of this pathology and may sometimes be the first manifestation of a prostate carcinoma. Less than 40 cases of subdural hematoma are reported in the literature as a consequence of dural metastases from a prostate adenocarcinoma. The authors present the case of a male patient diagnosed with stage IV prostate adenocarcinoma with bone metastasis, who is admitted for left hemisphere subdural hematoma with right hemiparesis. The evolution of the patient is unfavorable, and the autopsy shows dural metastases and a collection of subdural coagulated blood. The chronic subdural hematoma with re-bleeding is a rare cause of death in the development of a prostate adenocarcinoma.

Corresponding author: Roxana Eugenia Zavoi, Professor, MD, PhD; e-mail:; Madalina Maria Diac, Teaching Assistant, MD, PhD Student; e-mail:

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