Abstract
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 for additional treatment. A craniotomy
was performed and due to intraoperative suspicious findings, histopathologic 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 radiologic course, and discuss the
potential association of CSH with meningeal metastasis and bilateral papilledema.
Keywords cerebral venous thrombosis - chronic subdural hematoma - magnetic resonance imaging
- meningeal metastasis - papilledema
