Occipital Lobe Metastasis of Hepatocellular Carcinoma Presenting as Homonymous Hemianopia.
10.3341/jkos.2017.58.4.488
- Author:
Hye Jin LEE
1
;
Young Hee MAENG
;
Jinho JEONG
;
You Nam CHUNG
;
Chang Sub LEE
;
Byung Cheol SONG
Author Information
1. Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea. ilovelhj@hanmail.net
- Publication Type:Case Report
- Keywords:
Brain tumor;
Hepatocellular carcinoma;
Homonymous hemianopia;
Intracranial metastasis;
Occipital lobe
- MeSH:
Brain;
Brain Neoplasms;
Carcinoma, Hepatocellular*;
Craniotomy;
Diagnosis;
Female;
Headache;
Hemianopsia*;
Hepatectomy;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Neoplasm Metastasis*;
Occipital Lobe*;
Visual Acuity;
Visual Field Tests
- From:Journal of the Korean Ophthalmological Society
2017;58(4):488-492
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report brain metastasis of hepatocellular carcinoma presenting as homonymous hemianopia. CASE SUMMARY: 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.
