Metastatic hepatocellular carcinoma presenting as epidural hematoma: Case report

Jon I. McIver, Bernd W. Scheithauer, Charlotte H. Rydberg, John L.D. Atkinson

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: A case of acutely symptomatic epidural hematoma caused by metastatic hepatocellular carcinoma (HCC) to the cranium is reported. This is a rare case of metastatic HCC without known primary presenting as an epidural hematoma. CLINICAL PRESENTATION: The patient presented with an acute onset of headache, aphasia, and right hemiparesis 2 weeks after he experienced minor trauma to the cranium. An emergency computed tomographic scan of the head revealed the presence of a left parietal epidural hematoma. INTERVENTION: An emergency evacuation of the epidural hematoma was performed, and metastatic HCC was diagnosed. CONCLUSION: The patient's neurological deficits were reversed with surgical intervention, and he is now undergoing palliative chemotherapy. This was the first clinical manifestation of HCC in this patient. This case reaffirms the neurosurgeon's role in the complex, multidisciplinary care of patients with craniospinal metastasis.

Original languageEnglish (US)
Pages (from-to)447-449
Number of pages3
JournalNeurosurgery
Volume49
Issue number2
DOIs
StatePublished - Aug 18 2001

Keywords

  • Epidural hematoma
  • Hepatocellular carcinoma
  • Metastasis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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