====== Intracranial dural metastases ====== Pathology There are four mechanisms by which intracranial dural metastases are thought to occur ((Brain metastases. Springer. ISBN:0387692215.)): Direct extension from skull metastases Retrograde seeding through the vertebral venous plexus Haematogenous seeding Lymphatic seeding The primary malignancies that frequently cause dural metastases include (in descending order of frequency) ((Nayak L, Abrey LE, Iwamoto FM. Intracranial dural metastases. Cancer. 2009;115 (9): 1947-53. doi:10.1002/cncr.24203)) ((Brain metastases. Springer. ISBN:0387692215.)). breast cancer prostate cancer lung cancer head and neck cancers haematological cancers neuroblastoma gastric adenocarcinoma ((Sequential spinal and intracranial dural metastases in gastric adenocarcinoma: A case report. (2018) World Journal of Gastroenterology. 24 (5): 651. doi:10.3748/wjg.v24.i5.651)).