title: Homonymous hemianopia caused by solitary skull metastasis of hepatocellular carcinoma.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
authors.forename: Sheng-Yao
authors.initials: SY
authors.lastname: Hsu
authors.forename: Fang-Ling
authors.initials: FL
authors.lastname: Chang
authors.forename: Min-Muh
authors.initials: MM
authors.lastname: Sheu
authors.forename: Rong-Kung
authors.initials: RK
authors.lastname: Tsai
mesh_terms: 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