Hepatocellular carcinoma (HCC) rarely metastises to the brain. Intracranial HCC metastases are generally hemorhagic. This 69 years old male patient presented with sudden confusion and left hemiparesis. On cranial CT there was a hyperdense lesion with perilesional edema. The patient was diagnosed as hypertensive intracerebral hematoma. At operation there was no solid or cystic formations suggestive of a tumor. Two Months after his discharge the patient presented with the same complaints. On CT, there was a solid lesion with heterogenous, density. The lesion was removed through a left temporal craniectomy. The pathologic result was hemorrhagic hepatocellular carcinoma metastasis. We wish to highlight with this case report that hepatocellular carcinoma can present as intracerebral hematoma.

Keywords: intracerebral hematoma, Hepatocellular carcinoma (HCC), Brain Metastasis