Metastatic hepatocellular carcinoma presenting as facial nerve palsy and facial pain.
10.3350/kjhep.2011.17.4.319
- Author:
Jong In YANG
1
;
Jung Mook KANG
;
Hee Jin BYUN
;
Go Eun CHUNG
;
Jeong Yoon YIM
;
Min Jung PARK
;
Jeong Hoon LEE
;
Jung Hwan YOON
;
Hyo Suk LEE
Author Information
1. Departement of Internal Medicine, Seoul National University Hospital Gangnam Healthcare Center, Seoul National University College of Medicine, Seoul, Korea. dr1004@snu.ac.kr
- Publication Type:Case Reports
- Keywords:
Metastasis;
Hepatocellular carcinoma;
Temporal bone;
Cranial nerve palsy
- MeSH:
Carcinoma, Hepatocellular/complications/*pathology;
Facial Nerve Diseases/diagnosis/etiology;
Facial Pain/etiology;
Facial Paralysis/diagnosis/etiology;
Hepatitis B, Chronic/diagnosis;
Hepatitis C, Chronic/diagnosis;
Humans;
Immunohistochemistry;
Liver Neoplasms/complications/*pathology;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Positron-Emission Tomography;
Skull Neoplasms/*diagnosis/pathology/secondary;
Tomography, X-Ray Computed
- From:The Korean Journal of Hepatology
2011;17(4):319-322
- CountryRepublic of Korea
- Language:English
-
Abstract:
Facial nerve palsy due to temporal bone metastasis of hepatocellular carcinoma (HCC) has rarely been reported. We experienced a rare case of temporal bone metastasis of HCC that initially presented as facial nerve palsy and was diagnosed by surgical biopsy. This patient also discovered for the first time that he had chronic hepatitis B and C infections due to this facial nerve palsy. Radiation therapy greatly relieved the facial pain and facial nerve palsy. This report suggests that hepatologists should consider metastatic HCC as a rare but possible cause of new-onset cranial neuropathy in patients with chronic viral hepatitis.
