J Korean Ophthalmol Soc.  2017 Apr;58(4):488-492. 10.3341/jkos.2017.58.4.488.

Occipital Lobe Metastasis of Hepatocellular Carcinoma Presenting as Homonymous Hemianopia

Affiliations
  • 1Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea. ilovelhj@hanmail.net
  • 2Department of Pathology, Jeju National University School of Medicine, Jeju, Korea.
  • 3Department of Neurosurgery, Jeju National University School of Medicine, Jeju, Korea.
  • 4Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.

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.

Keyword

Brain tumor; Hepatocellular carcinoma; Homonymous hemianopia; Intracranial metastasis; Occipital lobe
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