Korean J Gastroenterol.  1999 Sep;34(3):406-410.

A Case of Metastatic Hepatocellular Carcinoma Presented as Isolated Facial Palsy

• Choi W
• Kim YS
• shin YW
• Kwon KS
• Lee DH
• Cho HG
• Kim HG
• Kim PS
• Park WK
• Chung YS

Abstract

Skull metastasis of primary hepatocellular carcinoma (HCC) are rare. Moreover, the case of isolated facial palsy due to metastasis of HCC to temporal bone is extremely rare. We present a patient with this rare event. A 43-year-old male was presented to us with right facial palsy. On admission, neurological examination revealed isolated, peripheral facial nerve palsy on the right side. Skull computed tomography showed an osteolytic lesion in the right temporal bone. Blood tests showed liver dysfunction, a high alpha-fetoprotein level and HBsAg positivity. Abdominal computed tomography showed multiple masses on the liver. The temporal bone tumor was biopsyed. The histological diagnosis was a cranial metastasis from HCC. He died of liver failure 3 months after radiation therapy to the metastatic temporal bone lesion.

Keyword

Hepatocellular carcinoma; Skull metastasis; Facial palsy

MeSH Terms

Adult
alpha-Fetoproteins
Carcinoma, Hepatocellular*
Diagnosis
Facial Nerve
Facial Paralysis*
Hematologic Tests
Hepatitis B Surface Antigens
Humans
Liver
Liver Diseases
Liver Failure
Male
Neoplasm Metastasis
Neurologic Examination
Paralysis
Skull
Temporal Bone
Hepatitis B Surface Antigens
alpha-Fetoproteins