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KMID : 1103920110170040319
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Korean Journal of Hepatology
2011 Volume.17 No. 4 p.319 ~ p.322
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Metastatic hepatocellular carcinoma presenting as facial nerve palsy and facial pain
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Yang Jong-In
Kang Jung-Mook
Byun Hee-Jin
Chung Go-Eun
Yim Jeong-Yoon
Park Min-Jung
Lee Jeong-Hoon
Yoon Jung-Hwan
Lee Hyo-Suk
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Abstract
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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.
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KEYWORD
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Metastasis, Hepatocellular carcinoma, Temporal bone, Cranial nerve palsy
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