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Intracranial multiple myeloma may imitate subdural hemorrhage: How to overcome diagnostic limitations and avoid errors in treatment
Affiliations- Department of Neurosurgery, Universitätsklinikum des Saarlandes, Homburg, Germany
- Department of Neurosurgery, Universitätsmedizin Mainz, Germany
- Department of Neurosurgery, Istanbul Üsküdar State Hospital, Üsküdar, Türkiye
- Department of Neuropathology, Universitätsmedizin Mainz, Germany
- Department of Neuroradiology, Universitätsmedizin Mainz, Germany
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Abstract
•Although the diagnosis of subdural hematoma is usually straightforward, occasionally it may be erroneous, leading to mistakes in the treatment.•The importance of not only intuitive thinking but also in analytic thinking in appropriate and accurate treatment strategies is stressed.•The clinical and radiological pitfalls in differentiating malignant leptomeningeal infiltration and subdural hematomas are discussed.
Abstract
•Although the diagnosis of subdural hematoma is usually straightforward, occasionally it may be erroneous, leading to mistakes in the treatment.•The importance of not only intuitive thinking but also in analytic thinking in appropriate and accurate treatment strategies is stressed.•The clinical and radiological pitfalls in differentiating malignant leptomeningeal infiltration and subdural hematomas are discussed.
Keywords
Metastases, Multiple myeloma, Subdural hemorrhage, Diagnostic pitfall
About this articleTitle
Intracranial multiple myeloma may imitate subdural hemorrhage: How to overcome diagnostic limitations and avoid errors in treatment
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
252-258
Page views
370
Article views/downloads
724
DOI
10.1016/j.pjnns.2017.02.005
Bibliographic record
Neurol Neurochir Pol 2017;51(3):252-258.
Keywords
Metastases
Multiple myeloma
Subdural hemorrhage
Diagnostic pitfall
Authors
Anna Prajsnar-Borak
Naci Balak
Harald Von Pein
Martin Glaser
Stephan Boor
Axel Stadie
