{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:07:11Z","timestamp":1791648431998,"version":"4.3.4"},"reference-count":61,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Subdural hematoma (SDH) occasionally accompanies dural metastasis and is associated with high recurrence rate, significantly impacting patient morbidity and mortality. This systematic review aims to evaluate the characteristics, management options, and outcomes of patients with SDH associated with dural metastasis.<\/jats:p><jats:p>\n          Methods\u2003A comprehensive search of the PubMed and Cochrane databases was conducted for English-language studies published from inception to March 20, 2023, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The authors reviewed cases of histopathologically confirmed SDH with non-central nervous system (non-CNS) tumor metastasis, focusing on therapeutic management of SDH. Statistical analysis was performed using SPSS software, with a significance level set at 0.05.<\/jats:p><jats:p>\n          Results\u2003This review included 32 studies comprising 37 patients with 43 SDH cases associated with dural metastasis. Chronic SDH was the most frequently observed presentation (n\u2009=\u200928, 65.12%). The systemic malignancies most commonly associated with SDH due to dural metastasis were prostate carcinoma (n\u2009=\u20099, 24.32%) and gastric carcinoma (n\u2009=\u20095, 13.51%). A statistically significant association was found between metastatic melanoma and subacute SDH (p\u2009=\u20090.010). The majority of patients were treated with burr holes (n\u2009=\u200915, 40.54%) or craniotomies (n\u2009=\u200914, 37.84%), with no statistically significant difference in mortality rates between the two techniques (p\u2009=\u20090.390). Adjuvant therapy was administered to a limited number of patients (n\u2009=\u20095, 13.51%), including chemotherapy (n\u2009=\u20092, 5.41%), whole brain radiotherapy (n\u2009=\u20091, 2.70%), a combination of chemotherapy and whole brain radiotherapy (n\u2009=\u20091, 2.70%), and transcatheter arterial chemoembolization (n\u2009=\u20091, 2.70%). The overall recurrence rate was 45.95% (n\u2009=\u200917), with burr holes being the most common management approach (n\u2009=\u20094, 10.81%). Within a median of 8 days, 67.57% (n\u2009=\u200925) of patients succumbed, primarily due to rebleeding (n\u2009=\u20093, 8.11%), disseminated intravascular coagulation (n\u2009=\u20093, 8.11%), and pneumonia (n\u2009=\u20093, 8.11%).<\/jats:p><jats:p>\n          Conclusion\u2003This review highlights the need for improving existing neurosurgical options and exploring novel treatment methods. It also emphasizes the importance of dural biopsy in patients with suspected metastasis to rule out a neoplastic etiology.<\/jats:p>","DOI":"10.1055\/s-0044-1782141","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T23:46:11Z","timestamp":1709595971000},"page":"073-084","source":"Crossref","is-referenced-by-count":4,"title":["Subdural Hematoma due to Dural Metastasis: A Systematic Review on Frequency, Clinical Characteristics, and Neurosurgical Management"],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4010-8951","authenticated-orcid":false,"given":"Bhavya","family":"Pahwa","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3580-1660","authenticated-orcid":false,"given":"Anish","family":"Tayal","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atulya","family":"Chandra","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe M.","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Salford Royal Hospital, Salford, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11060-004-8098-1","article-title":"Dural metastases","volume":"75","author":"F Laigle-Donadey","year":"2005","journal-title":"J Neurooncol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1038\/bjc.1953.44","article-title":"Secondary neoplasms of the central nervous system and meninges","volume":"7","author":"P C Meyer","year":"1953","journal-title":"Br J Cancer"},{"key":"ref3","first-page":"77","volume-title":"Neurologic Complications of Cancer","author":"J B Posner","year":"1995","edition":"1st ed."},{"issue":"05","key":"ref4","first-page":"383","article-title":"Acute subdural hematoma and pachymeningitis carcinomatosa: case report","volume":"155","author":"F Caputi","year":"1999","journal-title":"Rev Neurol (Paris)"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1002\/1097-0142(197810)42:4<2015::AID-CNCR2820420450>3.0.CO;2-Q","article-title":"Subdural hematoma secondary to metastatic neoplasm: report of two cases and a review of the literature","volume":"42","author":"P C Ambiavagar","year":"1978","journal-title":"Cancer"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/0303-8467(92)90095-K","article-title":"Subdural hematoma due to dural metastasis: case report and review of the literature","volume":"94","author":"M Bergmann","year":"1992","journal-title":"Clin Neurol Neurosurg"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"610","DOI":"10.3171\/jns.1974.41.5.0610","article-title":"Subdural hematoma secondary to metastatic dural carcinomatosis. 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