J Korean Ophthalmol Soc > Volume 58(4); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(4):488-492.
DOI: https://doi.org/10.3341/jkos.2017.58.4.488    Published online April 15, 2017.
Occipital Lobe Metastasis of Hepatocellular Carcinoma Presenting as Homonymous Hemianopia.
Hye Jin Lee, Young Hee Maeng, Jinho Jeong, You Nam Chung, Chang Sub Lee, Byung Cheol Song
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.
동측반맹을 보인 뇌전이 간세포암
이혜진1⋅맹영희2⋅정진호1⋅정유남3⋅이창섭3⋅송병철4
제주대학교 의학전문대학원 안과학교실1, 제주대학교 의학전문대학원 병리학교실2, 제주대학교 의학전문대학원 신경외과학교실3, 제주대학교 의학전문대학원 내과학교실4
Correspondence:  Hye Jin Lee,
Email: ilovelhj@hanmail.net
Received: 8 December 2016   • Revised: 10 January 2017   • Accepted: 28 March 2017
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.
Key Words: Brain tumor;Hepatocellular carcinoma;Homonymous hemianopia;Intracranial metastasis;Occipital lobe


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