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.

• Keywords: Hepatocellular carcinoma(HCC), Brain metastasis, Chemotherapy, Bitemporal hemianopsia