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Journal of Korean Neurosurgical Society 2010;47(6): 461-463.
doi: https://doi.org/10.3340/jkns.2010.47.6.461
Spontaneous Epidural Hematoma from Skull Base Metastasis of Hepatocellular Carcinoma.
Kwang Moo Woo, Byong Cheol Kim, Keun Tae Cho, Eo Jin Kim
1Department of Neurosurgery, Dongguk University College of Medicine, Dongguk University International Hospital, Goyang, Korea. ktcho21@naver.com
2Department of Pathology, Dongguk University College of Medicine, Dongguk University International Hospital, Goyang, Korea.
ABSTRACT
We report a case of an acute spontaneous epidural hematoma (EDH) due to skull base metastasis in a 46-year-old male patient with hepatocellular carcinoma (HCC). The patient presented with the acute onset of severe headache followed by unconsciousness, and computed tomography showed a large EDH in the right temporal and parietal lobes with midline shift. Emergency evacuation of the EDH was performed, and the hemorrhage was determined to be secondary to skull base metastasis of HCC.
Key Words: Epidural hematoma; Skull base metastasis; Hepatocellular carcinoma
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