Journal of Korean Neurosurgical Society

  • 제48권2호
  • /
  • Pages.166-169
  • /
  • 2010
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Spontaneous Intracranial Epidural Hematoma Originating from Dural Metastasis of Hepatocellular Carcinoma

  • Kim, Byoung-Gu (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Yoon, Seok-Mann (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Bae, Hack-Gun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Yun, Il-Gyu (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)
  • 투고 : 2010.01.22
  • 심사 : 2010.08.03
  • 발행 : 2010.08.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Spontaneous intracranial epidural hematoma (EDH) due to dural metastasis of hepatocellular carcinoma is very rare. A 53-year-old male patient with hepatocellular carcinoma, who was admitted to the department of oncology, was referred to department of neurosurgery because of sudden mental deterioration to semicoma with papillary anisocoria and decerebrate rigidity after transarterial chemoembolization for hepatoma. Brain computed tomography (CT) revealed large amount of acute EDH with severe midline shifting. An emergent craniotomy and evacuation of EDH was performed. Active bleeding from middle cranial fossa floor was identified. There showed osteolytic change on the middle fossa floor with friable mass-like lesion spreading on the overlying dura suggesting metastasis. Pathological examination revealed anaplastic cells with sinusoidal arrangement which probably led to spontaneous hemorrhage and formation of EDH. As a rare cause of spontaneous EDH, dural metastasis from malignancy should be considered.

키워드

참고문헌

  1. Anegawa S, Hirohata S, Tokutomi T, Kuramoto S : Spontaneous epidural hematoma secondary to dural metastasis from an ovarian carcinoma-- case report. Neurol Med Chir (Tokyo) 29 : 854-856, 1989 https://doi.org/10.2176/nmc.29.854
  2. Aslam E, Imran M, Faridi NM : Bilateral parietal extradural metastatic Ewing's sarcoma simulating acute epidural hematoma. J Coll Physicians Surg Pak 16 : 543-544, 2006
  3. Chen HC, Shen WC, Chou DY, Chiang IP : Langerhans cell histiocytosis of the skull complicated with an epidural hematoma. AJNR Am J Neuroradiol 23 : 493-495, 2002
  4. Cho DY, Liau WR, Chiang IP : Eosinophilic granuloma with acute epidural hematoma : a case report. Pediatr Neurosurg 35 : 266-269, 2001 https://doi.org/10.1159/000050434
  5. Endo M, Hamano M, Watanabe K, Wakai S : [Combined chronic subdural and acute epidural hematoma secondary to metastatic hepatocellular cancer : case report.] No Shinkei Geka 27 : 331-334, 1999
  6. Friedman HD : Hepatocellular carcinoma with central nervous system metastasis : a case report and literature review. Med Pediatr Oncol 19 : 139-144, 1991 https://doi.org/10.1002/mpo.2950190215
  7. Gordon AG : Extradural hematoma and homolateral otitis media. J Neurosurg 49 : 942-943, 1978
  8. Griffiths SJ, Jatavallabhula NS, Mitchell RD : Spontaneous extradural haematoma associated with craniofacial infections: case report and review of the literature. Br J Neurosurg 16 : 188-191, 2002 https://doi.org/10.1080/026886902317384553
  9. Hassan MF, Dhamija B, Palmer JD, Hilton D, Adams W : Spontaneous cranial extradural hematoma : case report and review of literature. Neuropathology 29 : 480-484, 2009 https://doi.org/10.1111/j.1440-1789.2008.00977.x
  10. Hayashi K, Matsuo T, Kurihara M, Daikoku M, Kitange G, Shibata S : Skull metastasis of hepatocellular carcinoma associated with acute epidural hematoma : a case report. Surg Neurol 53 : 379-382, 2000 https://doi.org/10.1016/S0090-3019(00)00208-1
  11. Kelly DL Jr, Smith JM : Epidural hematoma secondary to frontal sinusitis. Case report. J Neurosurg 28 : 67-69, 1968 https://doi.org/10.3171/jns.1968.28.1.0067
  12. Lee KW, Chung DS, Huh PW, Hong YK, Rha HK, Kang JK : Intracranial metastasis of hepatocellular carcinoma associated with epidural hematoma : a case report. J Korean Neurosurg Soc 25 : 1738- 1742, 1996
  13. Leung G, Yip P, Fan YW : Spontaneous epidural haematoma associated with radiation-induced malignant fibrous histiocytoma. J R Coll Surg Edinb 44 : 404-406, 1999
  14. Martínez-Lage JF, Bermüdez M, Martínez-Barba E, Fuster JL, Poza M : Epidural hematoma from a cranial eosinophilic granuloma. Childs Nerv Syst 18 : 74-76, 2002 https://doi.org/10.1007/s003810100491
  15. McIver JI, Scheithauer BW, Rydberg CH, Atkinson JL : Metastatic hepatocellular carcinoma presenting as epidural hematoma : case report. Neurosurgery 49 : 447-449, 2001
  16. Nakagawa Y, Yoshino E, Suzuki K, Tatebe A, Andachi H : Spontaneous epidural hematoma from a hepatocellular carcinoma metastasis to the skull--case report. Neurol Med Chir (Tokyo) 32 : 300-302, 1992 https://doi.org/10.2176/nmc.32.300
  17. Nakao N, Kubo K, Moriwaki H : Cranial metastasis of hepatocellular carcinoma associated with chronic epidural hematoma--case report. Neurol Med Chir (Tokyo) 32 : 100-103, 1992 https://doi.org/10.2176/nmc.32.100
  18. Ng WH, Yeo TT, Seow WT : Non-traumatic spontaneous acute epidural haematoma--report of two cases and review of the literature. J Clin Neurosci 11 : 791-793, 2004 https://doi.org/10.1016/j.jocn.2003.12.002
  19. Sanchis JF, Orozco M, Cabanes J : Spontaneous extradural haematomas. J Neurol Neurosurg Psychiatry 38 : 577-580, 1975 https://doi.org/10.1136/jnnp.38.6.577
  20. Sato N, Tsurushima H, Matsumura A, Meguro K, Doi M : [A case of epidural hematoma due to dural metastasis.] No Shinkei Geka 19 : 447-450, 1991
  21. Sekimoto T, Nakagawa Y, Ueda S, Hirakawa K, Fukuma S, Taketomo S : [Spontaneous epidural hematoma--report of two cases.] No Shinkei Geka 13 : 1253-1257, 1985
  22. Shamim MS, Bari ME, Enam SA : Dural metastases presenting as an extradural hematoma : a rare presentation. J Pak Med Assoc 55 : 509-510, 2005
  23. Shuangshoti S, Rungruxsirivorn S, Panyathanya R : Intracranial metastasis of hepatic carcinomas : a study of 9 cases within 28 years. J Med Assoc Thai 72 : 307-313, 1989
  24. Simmons NE, Elias WJ, Henson SL, Laws ER : Small cell lung carcinoma causing epidural hematoma : case report. Surg Neurol 51 : 56- 59, 1999 https://doi.org/10.1016/S0090-3019(97)00450-3
  25. Wakai S, Yamakawa K, Manaka S, Takakura K : Spontaneous intracranial hemorrhage caused by brain tumor : its incidence and clinical significance. Neurosurgery 10 : 437-444, 1982 https://doi.org/10.1227/00006123-198204000-00004
  26. Yamashita Y, Kumabe T, Kobayashi T, Abiko H, Seki H, Yoshimoto T : [Ewing's sarcoma at the occipital bone presenting as acute epidural hematoma: a case report.] No Shinkei Geka 25 : 567-571, 1997
  27. Zheng FX, Chao Y : Spontaneous intracranial extradural hematoma : case report and literature review. Neurol India 57 : 324-326, 2009 https://doi.org/10.4103/0028-3886.53288

피인용 문헌

  1. Spontaneous Epidural Haematoma in Sickle Cell Anaemia: Case Report and Literature Review vol.4, pp.2, 2010, https://doi.org/10.4103/2006-8808.110271
  2. Tumour bleed manifesting as spontaneous extradural haematoma in posterior fossa vol.2014, pp.None, 2014, https://doi.org/10.1136/bcr-2014-205175
  3. Epidural hematoma secondary to solitary skull metastasis from an ovarian carcinoma vol.9, pp.2, 2010, https://doi.org/10.4103/1793-5482.136729
  4. Acute spontaneous subdural hematoma caused by skull metastasis of hepatocellular carcinoma: case report vol.15, pp.None, 2015, https://doi.org/10.1186/s12893-015-0045-x
  5. Retrobulbar metastasis and intracranial invasion from postoperative hepatocellular carcinoma: A case report and review of the literature vol.9, pp.2, 2010, https://doi.org/10.3892/ol.2014.2733
  6. Concomitant Subdural Hemorrhage and Intracerebral Hemorrhage due to Brain Metastasis of the Hepatocellular Carcinoma vol.3, pp.1, 2010, https://doi.org/10.14791/btrt.2015.3.1.48
  7. Spontaneous acute epidural hematoma developed due to skull metastasis of hepatocelluar carcinoma: A case report and review of the literature vol.11, pp.1, 2010, https://doi.org/10.3892/ol.2015.3947
  8. A Case of Tumor Embolization for Metastatic Bone Tumor and Stanford Type A Aortic Dissection under Direct Carotid Puncture vol.11, pp.9, 2017, https://doi.org/10.5797/jnet.cr.2016-0135
  9. Intraparenchymal Hemorrhage due to Brain Metastasis of Hepatocellular Carcinoma vol.11, pp.3, 2010, https://doi.org/10.1159/000479221
  10. Superior Sagittal Sinus Tumor Eroding through the Skull: An Unfamiliar Presentation of Hepatocellular Carcinoma and Literature Review vol.2019, pp.None, 2010, https://doi.org/10.1155/2019/5945726
  11. Spontaneous acute epidural hematoma associated with chronic subdural hematoma due to dural metastasis of gastric carcinoma: a case report and literature review vol.131, pp.4, 2010, https://doi.org/10.1080/00207454.2020.1744599