Homonymous hemianopia caused by solitary skull metastasis of hepatocellular carcinoma.
We report a patient who developed a complete left homonymous hemianopia from mass effect of a solitary skull metastasis of hepatocellular carcinoma (HCC). After chemoembolization and resection, the visual field defect improved markedly. This is the first reported case demonstrating this phenomenon in HCC. It supports aggressive treatment of a solitary skull metastasis in this setting.
Hsu
Sheng-Yao
SY
Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Chang
Fang-Ling
FL
Sheu
Min-Muh
MM
Tsai
Rong-Kung
RK
D000437:Alcoholism / Q000150:complications; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000150:complications* / Q000556:secondary*; D054022:Cerebrum / Q000473:pathology* / Q000503:physiopathology; D004621:Embolization, Therapeutic; D005355:Fibrosis / Q000139:chemically induced / Q000821:virology; D006423:Hemianopsia / Q000209:etiology* / Q000473:pathology* / Q000503:physiopathology; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D020547:Lateral Ventricles / Q000473:pathology / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D011859:Radiography; D012307:Risk Factors; D012886:Skull / Q000473:pathology; D012888:Skull Neoplasms / Q000098:blood supply / Q000150:complications* / Q000556:secondary*; D013624:Taiwan; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome; D014793:Visual Cortex / Q000473:pathology / Q000503:physiopathology; D014795:Visual Pathways / Q000473:pathology / Q000503:physiopathology