Cerebral hemorrhage from unsuspected choriocarcinoma

A patient is presented who developed a frontal intracerebral hemorrhage, which proved to be due to a metastasis of a choriocarcinoma. The patient's uterus and adnexa had been removed two years previously for a non-malignant disorder. two years previously for a non-malignant disorder. The authors stress the importance of cytological examination of the bloody fluid on evacuation of a hematoma.