Hepatocellular Carcinoma with Acute Spinal Cord Compression as the Initial Presentation

Helen L. Po, Pei H. Chen, Sho J. Cheng, I. Hung Hseuh

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Primary hepatocellular carcinoma (HCC) ranks as the most lethal malignancy in Taiwan. Its initial presentation as acute spinal cord compression from epidural metastasis is rare. Because of newer treatment modalities and better control of the primary tumor, the mean survival has increased, making early diagnosis and detection of distant metastases of utmost importance. The authors describe a 60-year-old man presented with a sudden onset of bilateral lower limb weakness and a sensory level at T8. Plain film of the thoracic spine was normal. Magnetic resonance imaging of the thoracic spine showed a large intraspinal epidural tumor at T6 level causing spinal cord compression. A diagnosis of HCC with epidural metastasis was made after surgical removal of the tumor mass.

Original languageEnglish
Pages (from-to)191-195
Number of pages5
JournalActa Neurologica Taiwanica
Issue number4
Publication statusPublished - Dec 1 2003
Externally publishedYes


  • Hepatocellular carcinoma
  • Magnetic resonance imaging
  • Metastasis
  • Radiotherapy
  • Spinal cord compression

ASJC Scopus subject areas

  • Clinical Neurology


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