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Rectal dural metastasis masquerading as chronic subdural hematoma: illustrative case

Hantz Filbert C. Siy, Edwin Michael Joy B. Pacia, Allan O. Ong, Maria Ong-Lingan, and Pochollo P. Rosales

patients presenting with subdural hematoma have been even more infrequent, with a 4% incidence in a study among patients with subdural hematoma and active cancer at the Memorial Sloan Kettering Cancer Center. In colorectal carcinoma, regional lymph node involvement is the most common form of spread and usually precedes distant metastasis or the development of carcinomatosis. The most common site of distant metastasis is the liver. Rectal carcinoma spreading to the brain is rare, with an incidence ranging from just 1% to 3%. 2 There have been several reports of

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Calcified chronic subdural hematoma: illustrative case

Rupesh Pakrasi, Payoz Pandey, Srijan Das, Shreya Datta, and Dipti Saha

): 330 – 342 . 10.4103/1793-5482.145102 2 Xiao Z , Chen X , Li K , Zhang Z . Calcified chronic subdural hematoma: a case report and literature review . Transl Neurosc Clin . 2017 ; 3 ( 4 ): 220 – 223 . 10.18679/CN11-6030_R.2017.032 12118221 3 Von Rokitansky C . Handbuch der Pathologischen Anatomie . Braumüller & Seidel ; 1846 . 4 Dammers R , ter Laak-Poort MP , Maas AI . Neurological picture. Armoured brain: case report of a symptomatic calcified chronic subdural haematoma . J Neurol Neurosurg Psychiatry

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Spontaneous middle meningeal arteriovenous fistula without cortical venous reflux presenting with acute subdural hematoma: illustrative case

Masahiro Yabuki, Yosuke Akamatsu, Hiroshi Kashimura, Yoshitaka Kubo, and Kuniaki Ogasawara

–14 We demonstrate a rare case of spontaneous acute subdural hematoma (SDH) caused by an MMAVF without CVR and discuss the mechanism of hemorrhagic presentation based on the findings during transarterial Onyx embolization. Illustrative Case A 17-year-old previously healthy male presented to our emergency department with the acute onset of headache. The patient had no history of head trauma. Computed tomography (CT) revealed a left acute SDH without significant mass effect ( Fig. 1A ). T2-weighted magnetic resonance imaging (MRI) performed on admission showed no

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Discovering spontaneous intracranial hypotension after failed middle meningeal artery embolization for subdural hematomas: illustrative cases

Lokeshwar S. Bhenderu, Marcus Wong, and Gavin Britz

. 27693247 7 Takahashi K , Mima T , Akiba Y . Chronic subdural hematoma associated with spontaneous intracranial hypotension: therapeutic strategies and outcomes of 55 cases . Neurol Med Chir (Tokyo) . 2016 ; 56 ( 2 ): 69 – 76 . 26489406 8 Zhang J , Jin D , Pan KH . Epidural blood patch for spontaneous intracranial hypotension with chronic subdural haematoma: a case report and literature review . J Int Med Res . 2016 ; 44 ( 4 ): 976 – 981 . 27225863 9 Okuma Y , Hirotsune N , Sotome Y , Middle meningeal artery

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Pachymeningeal en plaque metastasis from gastric cancer mimicking subdural hematoma: illustrative case

Hsuan-Yi Wu, Chee-Tat Lam, Ai Seon Kuan, Tong-Jong Chen, Chen-Shu Wu, and Ming-Cheng Tsai

after thoracoscopic segmentectomy in 2016 without recurrence. In March 2021, he presented with progressive right hemiparesis, and noncontrast computed tomography (CT) scanning of the brain revealed a left frontal-parietal-temporal chronic subdural hematoma (SDH) ( Fig. 1A and B ). After burr hole drainage was performed, the patient’s symptoms improved. In September 2021, the patient was admitted to our hospital because of hematemesis. Upper gastrointestinal pan-endoscopy revealed bleeding from malignant gastric ulcers in the gastric cardia. Hemostasis was achieved

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Cervical spinal cord compression from subdural hematoma caused by traumatic nerve root avulsion: illustrative case

Alexander T Yahanda, Michelle R Connor, Rupen Desai, David A Giles, Vivek P Gupta, Wilson Z Ray, and Magalie Cadieux

the cervical spine demonstrated what appeared to be a dorsal epidural hematoma spanning from C3 to C6 causing critical spinal canal stenosis ( Fig. 2 ). He was promptly taken to surgery for evacuation of this hematoma. He underwent C3–5 laminectomies, but no epidural blood was visualized after decompression. Moreover, the thecal sac appeared to be distended, particularly on the right side, with areas of dark coloration seen under the dura. Intraoperative ultrasound was used to visualize a subdural hematoma underlying the decompressed levels. FIG. 2 Cervical

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Subarachnoid hemorrhage due to intradural cerebral aneurysm and simultaneous spinal subdural hematoma: illustrative case

Francisco Hernández-Fernández, Noemí Cámara-González, María José Pedrosa-Jiménez, and Cristian Alcahut-Rodríguez

. Spinal subdural hematoma. A review . Surg Neurol . 1983 ; 20 ( 2 ): 133 – 137 . 10.1016/0090-3019(83)90464-0 3 Gillilan LA . Veins of the spinal cord. Anatomic details; suggested clinical applications . Neurology . 1970 ; 20 ( 9 ): 860 – 868 . 10.1212/WNL.20.9.860 4 Boop WC Jr , Chou SN , French LA . Ruptured intracranial aneurysm complicated by subdural hematoma . J Neurosurg . 1961 ; 18 : 834 – 836 . 10.3171/jns.1961.18.6.0834 5 Koerbel A , Ernemann U , Freudenstein D . Acute subdural haematoma without

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Spinal subdural hematoma from a ventral dural puncture after percutaneous vertebroplasty: illustrative case

Hao-Chien Yang, Heng-Wei Liu, and Chien-Min Lin

Percutaneous vertebroplasty (PVP) is a common and efficient procedure for treating vertebral compression fractures. Although often perceived as a minimally invasive low-risk procedure, postoperative complications caused by cement leakages are not uncommon and can lead to either a mild local leakage mass or serious systemic embolic events. 1–5 Spinal subdural hematoma (sSDH) after PVP is a rare complication. 6–8 Clinically, sSDHs can manifest as various nonspecific spinal symptoms and signs, which makes diagnosis difficult. Because no pathognomonic signs of

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Chronic subdural hematoma associated with type II and type III Galassi arachnoid cysts: illustrative cases

Bac Thanh Nguyen, Van Dinh Tran, Jehan Bista, and Trung Van Trinh

, hydrocephalus, and epileptic seizures. 2 The diagnosis of asymptomatic ACs has increased in recent years due to the extensive utilization of computed tomography (CT) and magnetic resonance imaging (MRI) techniques. 3 Head trauma is one of the most significant risk factors for the development of intracystic hemorrhage in ACs and subsequent subdural hematoma (SDH). However, fewer than 182 cases of spontaneous intracystic hemorrhage have been reported in the literature. 3 , 4 In this report, we present illustrative cases of three young patients who experienced spontaneous AC

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Middle meningeal artery embolization for refractory chronic subdural hematoma in a pediatric victim of nonaccidental trauma: illustrative case

Zsombor T Gal and Alfred P See

meningeal artery embolization for chronic subdural hematoma: a systematic review and meta-analysis . J Neurointerv Surg . 2021 ; 13 ( 10 ): 951 – 957 . 11 Catapano JS , Nguyen CL , Wakim AA , Albuquerque FC , Ducruet AF . Middle meningeal artery embolization for chronic subdural hematoma . Front Neurol . 2020 ; 11 : 557233 . 12 Deora H , Mishra A , Gupta R , Paediatric chronic subdural haematoma: what are the predisposing factors and outcomes in management of these cases? Childs Nerv Syst . 2022 ; 38 ( 1 ): 123 – 132