Abstract
We report a case of subdural hematoma due to dural gastric carcinoma metastasis following total gastrectomy. A 77–year–old woman seen elsewhere for vomiting and referred and hospitalized with a diagnosis of type 2 gastric cancer was found on admission to have a hemoglobin level of 4.2 g/dl, indicating anemia. Following total gastrecdtomy, splenectomy, and D2 dissection, the resected specimen showed advanced type 3 cancer, histopathologically classified as T2 (SS) N0 H0 P0 M1 (adrenal), stage IV. One day after surgery, she suddenly suffered left hemiplegia. Head computed tomography (CT) and magnetic resonance imaging (MRI) showed right parietal subdural hematoma. After two weeks, enhanced MRI showed abnormal dural enhancement, diagnosed as dural metastasis from gastric cancer. After radiation therapy on postoperative day 42, left hemiplegia improved. We thus found radiation therapy useful in dural metastasis from gastric carcinoma.
