Occipital Lobe Metastasis of Hepatocellular Carcinoma Presenting as Homonymous Hemianopia
Journal of the Korean Ophthalmological Society
;
: 488-492, 2017.
Article
in Korean
| WPRIM
| ID: wpr-49329
ABSTRACT
PURPOSE:
To report brain metastasis of hepatocellular carcinoma presenting as homonymous hemianopia. CASESUMMARY:
A 51-year-old female with a history of hepatectomy and diagnosis of hepatocellular carcinoma (HCC) 19 months earlier was referred to our neuro-ophthalmology clinic for evaluation due to headache and decreased visual acuity over the past several months. Best visual acuity was 20/20, and the results of all other aspects of our examination were normal except Humphrey automatic perimetry, which showed complete left homonymous hemianopia. Brain magnetic resonance imaging showed a large mass in the right occipital lobe. Craniotomy and removal of tumor were performed. HCC was confirmed by histopathologic examination.CONCLUSIONS:
Metastasis of hepatocellular carcinoma to the occipital lobe is extremely rare but can present as homonymous hemianopia. Therefore, clinicians should be aware of this when examining a patient with a history of HCC.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Brain
/
Brain Neoplasms
/
Magnetic Resonance Imaging
/
Visual Acuity
/
Hemianopsia
/
Carcinoma, Hepatocellular
/
Craniotomy
/
Diagnosis
/
Visual Field Tests
/
Headache
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2017
Type:
Article
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