J Korean Neurosurg Soc.  2010 Jun;47(6):461-463.

Spontaneous Epidural Hematoma from Skull Base Metastasis of Hepatocellular Carcinoma

• Woo KM
• Kim BC
• Cho KT
• Kim EJ

Abstract

We report a case of an acute spontaneous epidural hematoma (EDH) due to skull base metastasis in a 46-year-old male patient with hepatocellular carcinoma (HCC). The patient presented with the acute onset of severe headache followed by unconsciousness, and computed tomography showed a large EDH in the right temporal and parietal lobes with midline shift. Emergency evacuation of the EDH was performed, and the hemorrhage was determined to be secondary to skull base metastasis of HCC.

Keyword

Epidural hematoma; Skull base metastasis; Hepatocellular carcinoma

MeSH Terms

Carcinoma, Hepatocellular
Emergencies
Headache
Hematoma
Hemorrhage
Humans
Male
Middle Aged
Neoplasm Metastasis
Parietal Lobe
Skull
Skull Base
Unconsciousness