title: Spontaneous epidural hematoma from a hepatocellular carcinoma metastasis to the skull--case report.
abstract: A rare case of acute epidural hematoma originating from a hepatocellular carcinoma metastasis to the skull in a 52-year-old male is reported. The skull metastasis and epidural hematoma were completely removed, but he died of large liver tumor. Histological examination of the removed tumor showed many sinusoid-like blood vessels, which probably lead to hemorrhage and formation of epidural hematoma.
authors.affiliation: Department of Neurosurgery, Matsushita Memorial Hospital, Osaka.
authors.forename: Y
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: E
authors.initials: E
authors.lastname: Yoshino
authors.forename: K
authors.initials: K
authors.lastname: Suzuki
authors.forename: A
authors.initials: A
authors.lastname: Tatebe
authors.forename: H
authors.initials: H
authors.lastname: Andachi
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012888:Skull Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary*; D014057:Tomography, X-Ray Computed