Spontaneous acute subdural haemorrhage, cerebral and pulmonary metastases in a complete mole

Agrawal A, Agrawal CS, Kumar A, Kumar M, Yadav R
Correspondence: Dr Amit Agrawal, dramitagrawal@gmail.com

ABSTRACT
Complete and partial moles remit spontaneously in most cases, following evacuation of the uterine cavity. However, either persistent trophoblastic disease or a frank trophoblastic tumour can follow a complete hydatidiform mole. To our knowledge, acute subdural haematoma, as a complication of cerebral metastases, following treatment for hydatidiform mole has not been reported. We describe a 29-year-old woman who presented with spontaneous acute subdural haemorrhage and pulmonary metastases, eight months after evacuation of a complete hydatidiform mole, with a fatal outcome.

Keywords: cerebral metastases complication, gestational trophoblastic disease, hydatidiform mole, subdural haematoma
Singapore Med J 2007; 48(7): e186–e189