Brain Metastasis of Hepatocellular Carcinoma presenting with Hemorrhage : Case Report

Only a few cases of hemorrhage from metastatic foci of hepatocellular carcinoma in the brain parenchyma have been reported in the literature. We encountered a 71-year-old male who presented with intracerebral hemorrhage from a metastatic hepatocellular carcinoma. The patient was admitted with sudden onset of left hemiparesis and died about 6 weeks after hospitalization. Precontrast computed tomography (CT) on admission showed a high-density area suggestive of intracerebral hematoma. Serial CT scans revealed a ring-like enhanced mass with increased brain edema in the same region. Autopsy disclosed intraparenchymal metastasis of hepatocellular carcinoma with intratumoral and intracerebral hematoma.