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KMID : 0360220170580040488
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Journal of the Korean Ophthalmological Society
2017 Volume.58 No. 4 p.488 ~ p.492
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Occipital Lobe Metastasis of Hepatocellular Carcinoma Presenting as Homonymous Hemianopia
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Lee Hye-Jin
Maeng Young-Hee
Jeong Jin-Ho
Chung You-Nam
Lee Chang-Sub
Song Byung-Cheol
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Abstract
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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.
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KEYWORD
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Brain tumor, Hepatocellular carcinoma, Homonymous hemianopia, Intracranial metastasis, Occipital lobe
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