Intracranial Metastasis of Hepatocellular Carcinoma Associated with Epidural Hematoma: A Case Report.

Lee, Kang Woon; Chung, Dong Sup; Huh, Pil Woo; Hong, Yong Kil; Rha, Hyung Kyun; Kang, Joon Ki

Original Article

Journal of Korean Neurosurgical Society 1996;25(8): 1738-1742.

Kang Woon Lee, Dong Sup Chung, Pil Woo Huh, Yong Kil Hong, Hyung Kyun Rha, Joon Ki Kang

Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.

ABSTRACT

Intracranial metastasis of hepatocellular carcinoma have been rarely reported, even in the Orient and Africa where this carcinoma is one of the relatively common malignancies. Hepatocellular carcinomas usually spread to regional lymph nodes around the porta hepatis via lymphatics. But venous metastasis of this cacinoma can occur via intrahepatic vein. The lungs are the most common distant metastatic sites followed by stomach, bones, and adrenals. Recently, we experienced a case of intracranial metastasis of hepatocellular carcinoma associated with epidural hematoma. Although the epidural hematoma and the metastatic tumor mass were totally removed, the patient died of liver complications on the 9th day of postoperative care. The clinical and radiological details of this case are presented here with a brief review of the literature.

Key Words: Hepatocellular carcinoma; Intracranial metastasis; Venous metastasis