Spontaneous acute subdural hematoma as an initial presentation of choriocarcinoma: A case report
2008

Choriocarcinoma Presenting as Subdural Hematoma: A Case Report

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Rocque Brandon G, Başkaya Mustafa K

Primary Institution: University of Wisconsin, Madison, WI, USA

Hypothesis

Can choriocarcinoma present as an acute subdural hematoma?

Conclusion

Choriocarcinoma can frequently metastasize to the brain, presenting with symptoms like subdural hematoma.

Supporting Evidence

  • Choriocarcinoma is a rare disease that complicates about 1 in 50,000 pregnancies.
  • Intracranial metastases complicate between 3 and 28% of gestational choriocarcinoma cases.
  • Elevated beta-HCG levels in serum and CSF can indicate choriocarcinoma.

Takeaway

A woman had a serious brain bleed that turned out to be caused by a rare pregnancy-related cancer. Doctors found out she had cancer after checking her blood.

Methodology

The case involved a 34-year-old woman with a subdural hematoma who underwent decompressive craniectomy and subsequent examinations.

Limitations

The case lacked histological confirmation of choriocarcinoma despite elevated beta-HCG levels.

Participant Demographics

The patient was a 34-year-old woman with a history of abnormal pregnancy.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-211

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