양 이측 반맹으로 나타난 간암의 다발성 출혈성 뇌전이 증례
A Case of Hemorrhagic Brain Metastasis from Hepatocellular Carcinoma Manifesting Bitem-poral Hemianopsia -Case report-
대한암학회지 1994년 26권 6호 p.973 ~ 979
소속 상세정보
최호열
김현수/박태림/서중산/이재명/박영석/박근칠/선덕재/김호철
KMID : 0360319940260060973
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 chemotherapy 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.
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