[Cranial metastasis of hepatocellular carcinoma: case report]

A case of cranial metastasis of hepatocellular carcinoma is reported. A 62-year-old man was admitted due to an elastic hard tumor in the left occipital region. On admission, neurological findings were normal and general condition was good. However, liver function was moderately abnormal. Plain craniography showed osteolytic change in the left occipital region. Computerized tomography showed bone destruction and well circumscribed high-density tumor in the left occipital region. The margin of the tumor was strongly enhanced. Left common carotid angiography revealed a hypervascular mass which was fed by the left occipital artery and the left posterior meningeal artery. A total removal of the tumor was performed, and histological diagnosis was cranial metastasis of hepatocellular carcinoma. The postoperative course was uneventful, and the patient was under medical treatment for the primary lesion.