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Epidural hematoma secondary to solitary skull metastasis from an ovarian carcinoma.

Kumar PM, Manisha M - Asian J Neurosurg (2014)

Bottom Line: We report a rare case of an acute epidural hematoma (EDH) due to solitary skull metastasis in a 60-year-old patient treated earlier for ovarian carcinoma.The patient presented with head injury followed by unconsciousness and computerized tomography showed a large EDH in the right parietal region along with a contusion of left temporal-parietal lobe and subarachnoid hemorrhage in left sylvian fissure.Emergency craniotomy and evacuation of the EDH was performed and the hemorrhage was determined to be secondary to skull metastasis of ovarian carcinoma; the patient recovered and received whole brain radiation therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India.

ABSTRACT
We report a rare case of an acute epidural hematoma (EDH) due to solitary skull metastasis in a 60-year-old patient treated earlier for ovarian carcinoma. The patient presented with head injury followed by unconsciousness and computerized tomography showed a large EDH in the right parietal region along with a contusion of left temporal-parietal lobe and subarachnoid hemorrhage in left sylvian fissure. Emergency craniotomy and evacuation of the EDH was performed and the hemorrhage was determined to be secondary to skull metastasis of ovarian carcinoma; the patient recovered and received whole brain radiation therapy.

No MeSH data available.


Related in: MedlinePlus

Photomicrograph showing tumor with comedo necrosis (Hematoxylin and eosin, ×400)
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Figure 4: Photomicrograph showing tumor with comedo necrosis (Hematoxylin and eosin, ×400)

Mentions: Microscopically, the tumor revealed round to oval cells with clear cytoplasm, indistinct cytoplasmic margins, vesicular nuclei, and prominent nucleoli. Cells were arranged in nests and sheets showing focal comedo necrosis [Figure 4]. These findings were compatible with the diagnosis of metastatic ovarian adenocarcinoma.


Epidural hematoma secondary to solitary skull metastasis from an ovarian carcinoma.

Kumar PM, Manisha M - Asian J Neurosurg (2014)

Photomicrograph showing tumor with comedo necrosis (Hematoxylin and eosin, ×400)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129576&req=5

Figure 4: Photomicrograph showing tumor with comedo necrosis (Hematoxylin and eosin, ×400)
Mentions: Microscopically, the tumor revealed round to oval cells with clear cytoplasm, indistinct cytoplasmic margins, vesicular nuclei, and prominent nucleoli. Cells were arranged in nests and sheets showing focal comedo necrosis [Figure 4]. These findings were compatible with the diagnosis of metastatic ovarian adenocarcinoma.

Bottom Line: We report a rare case of an acute epidural hematoma (EDH) due to solitary skull metastasis in a 60-year-old patient treated earlier for ovarian carcinoma.The patient presented with head injury followed by unconsciousness and computerized tomography showed a large EDH in the right parietal region along with a contusion of left temporal-parietal lobe and subarachnoid hemorrhage in left sylvian fissure.Emergency craniotomy and evacuation of the EDH was performed and the hemorrhage was determined to be secondary to skull metastasis of ovarian carcinoma; the patient recovered and received whole brain radiation therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India.

ABSTRACT
We report a rare case of an acute epidural hematoma (EDH) due to solitary skull metastasis in a 60-year-old patient treated earlier for ovarian carcinoma. The patient presented with head injury followed by unconsciousness and computerized tomography showed a large EDH in the right parietal region along with a contusion of left temporal-parietal lobe and subarachnoid hemorrhage in left sylvian fissure. Emergency craniotomy and evacuation of the EDH was performed and the hemorrhage was determined to be secondary to skull metastasis of ovarian carcinoma; the patient recovered and received whole brain radiation therapy.

No MeSH data available.


Related in: MedlinePlus