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Clinical features of intracranial metastasis of primary hepatocellular carcinoma with burst diplopia as the first manifestation: a case report |
Lu Yang, Guangjian Liu, Jun Xuan, Huihui Wu, Yujie Yan, Yi Bao* |
Department of Neurology, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan 442000, China |
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Abstract Intracranial metastasis of liver cancer is rare, and diplopia as the first manifestation is even more rare. This article aims to introduce a patient with sudden diplopia in a middle-aged man. Physical examination revealed left abductor nerve palsy, craniocerebral magnetic resonance imaging (MRI) showed intracranial metastatic tumor, and positron emission tomography-computer tomography (PET-CT) tracing of the original lesion detected the primary liver cancer. This paper provides clinical data for intracranial metastasis of primary liver cancer and the possible pathogenesis and mechanism of sudden diplopia.
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Keywords
diplopia
liver cancer
abducent nerve palsy
positron emission tomography-computer tomography (PET-CT)
hepatitis B
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Issue Date: 23 May 2020
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