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안경록 ( Kyoung Rok Ahn ),장인복 ( In Bok Chang ),류경식 ( Kyung Sik Ryu ),조병문 ( Byung Moon Cho ),오세문 ( Sae Moon Oh ),박세혁 ( Se Hyuck Park ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2005 대한뇌종양학회지 Vol.4 No.2
We report a case of meatstatic choriocarcinoma mimicking systemic necrotizing vasculitis on cerebral angiogram. A 35- year-old female presented with right side hemiplegia and drowsy mental status. Computed tomography(CT) scan revealed an intracerebral hemorrhage in the left frontal region. Cerebral angiogram showed multiple microaneurysms arising from the bilateral anterior cerebral artery and middle cerebral arteries. Renal angiogram showed multiple microaneurysms arising from the left distal renal artery. Chest CT scan revealed multiple metastatic lesions in the left lower lung field. The hematoma and microaneurysms were surgically removed. Choriocarcinoma was diagnosed on histologic examination. Despite of postoperative chemotherapy, she died 1 month after operation.