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J Korean Cancer Assoc > Volume 26(6); 1994 > Article
Journal of the Korean Cancer Association 1994;26(6): 973-980.
양 이측 반맹으로 나타난 간암의 다발성 출혈성 뇌전이 증례
최호열, 김현수, 박태림, 서중산, 이재명, 박영석, 박근칠, 선덕재, 김호철, 최철순, 강구
A Case of Hemorrhagic Brain Matastasis from Hepatocellular Carcinoma Manifesting Bitemporal Hemianopsia
Ho Yeol Choi, Heon Soo Kim, Tae Rim Park, Joong San Suh, Jae Myung Lee, Young Suk Park, Keun Chil Park, Duk Jhe Shun, Ho Chul Kim, Chul Sun Choi, Gu Kang
ABSTRACT
Brain metastasis from primary hepatocellular carcinoma(HCC) is very rare. The authors describe a case of hemorrhagic brain metastasis from hepatocellular carcinoma manifesting bitemporal hemianopsia. The patient was a 56-year old male, who had been diagnosed as HCC with metastasis to the lung in February, 1994. Since then he had been given palliative chemo- therapy with cisplatin and adriamycin with very good response. In June, 1994, he had experience sudden decrease of visual acuity and headache. Neruologic examination revealed anisocoria and bitemporal hemianopsia, and brain MRI demonstrated mutiple hemorrhagic metastases to both occipital lobes and high right parietal lobe. The diagnosis was confirmed by the liver biopsy. This is the first case in Korea, to the best of our knowledge, of HCC with hemorrhagic brain metastasis, manifesting bitemporal hemianopsia.
Key words: Hepatocellular carcinoma(HCC), Brain metastasis, Chemotherapy, Bitemporal hemianopsia
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