{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:20:40Z","timestamp":1780467640932,"version":"3.54.1"},"reference-count":15,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nDistinguishing an isolated metastatic dural tumor from a meningioma on imaging is challenging and may lead to a delay in treatment. Here, we present the first known case of isolated, solitary dural metastasis from hepatocellular carcinoma (HCC) mimicking a meningioma.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 64-year-old male with a history of liver cirrhosis presented with a 5.8 cm enhancing left parafalcine hemorrhagic dural-based mass extending across the midline. Cerebral angiography revealed a distal left anterior pseudoaneurysm, and tumor contrast blush with feeders from the left ophthalmic and right middle meningeal artery. The pseudoaneurysm was successfully embolized to stop the bleeding, followed by an uneventful bi-coronal frontal craniotomy for falcine tumor resection to relieve brain compression. Histopathological analysis of the dural-based tumor showed poorly differentiated carcinoma with positive albumin in situ<\/jats:italic> hybridization and cytokeratin tumor markers, consistent with dural metastases from HCC.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nWhen encountering a solitary, highly vascular mass bearing resemblance to a meningioma, it may be prudent to consider the possibility of a dural-based metastatic carcinoma.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_733_2023","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T08:13:04Z","timestamp":1699603984000},"page":"398","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A rare case of solitary, isolated dural metastasis from hepatocellular carcinoma mimicking a meningioma"],"prefix":"10.25259","volume":"14","author":[{"given":"Joo Won","family":"Choi","sequence":"first","affiliation":[{"name":"John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Ho","sequence":"additional","affiliation":[{"name":"John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Jonathan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Queen\u2019s Medical Center, Honolulu, Hawaii, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wichit","family":"Sae-Ow","sequence":"additional","affiliation":[{"name":"Department of Pathology, The Queen\u2019s Medical Center, Honolulu, Hawaii, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdinand K.","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Neurointerventional Surgery, The Queen\u2019s Medical Center, Honolulu, Hawaii, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy C.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Institute, The Queen\u2019s Medical Center, Honolulu, Hawaii, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Tsappidi","sequence":"additional","affiliation":[{"name":"Department of Neurointerventional Surgery, The Queen\u2019s Medical Center, Honolulu, Hawaii, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"10.25259\/SNI_733_2023\/ref-1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s11060-008-9713-3","article-title":"Brain metastases from hepatocellular carcinoma: Prognostic factors and outcome: Brain metastasis from HCC","volume":"91","author":"Choi","year":"2009","journal-title":"J Neurooncol"},{"key":"10.25259\/SNI_733_2023\/ref-2","first-page":"151","article-title":"Tumor-to-tumor metastasis of the central nervous system","volume":"24","author":"Erdogan","year":"2014","journal-title":"Turk Neurosurg"},{"key":"10.25259\/SNI_733_2023\/ref-3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/B978-0-12-811161-1.00014-1","article-title":"Intracranial dural, calvarial, and skull base metastases","volume":"149","author":"Harrison","year":"2018","journal-title":"Handb Clin Neurol"},{"key":"10.25259\/SNI_733_2023\/ref-4","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S0303-8467(97)80011-X","article-title":"Isolated dural metastasis from colon cancer","volume":"99","author":"Higuchi","year":"1997","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_733_2023\/ref-5","doi-asserted-by":"crossref","first-page":"880","DOI":"10.5858\/2001-125-0880-DM","article-title":"Dural metastases. A retrospective surgical and autopsy series","volume":"125","author":"Kleinschmidt-DeMasters","year":"2001","journal-title":"Arch Pathol Lab Med"},{"key":"10.25259\/SNI_733_2023\/ref-6","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.3389\/fonc.2020.01664","article-title":"Brain metastases from lung adenocarcinoma may preferentially involve the distal middle cerebral artery territory and cerebellum","volume":"10","author":"Kwon","year":"2020","journal-title":"Front Oncol"},{"key":"10.25259\/SNI_733_2023\/ref-7","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11060-004-8098-1","article-title":"Dural metastases","volume":"75","author":"Laigle-Donadey","year":"2005","journal-title":"J Neurooncol"},{"key":"10.25259\/SNI_733_2023\/ref-8","doi-asserted-by":"crossref","first-page":"886","DOI":"10.2214\/AJR.10.5309","article-title":"Dynamic perfusion MRI characteristics of dural metastases and meningiomas: A pilot study characterizing the first-pass wash-in phase beyond relative cerebral blood volume","volume":"196","author":"Lui","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"10.25259\/SNI_733_2023\/ref-9","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1002\/cncr.24203","article-title":"Intracranial dural metastases","volume":"115","author":"Nayak","year":"2009","journal-title":"Cancer"},{"key":"10.25259\/SNI_733_2023\/ref-10","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1159\/000479221","article-title":"Intraparenchymal hemorrhage due to brain metastasis of hepatocellular carcinoma","volume":"11","author":"Sartori Balbinot","year":"2017","journal-title":"Case Rep Gastroenterol"},{"key":"10.25259\/SNI_733_2023\/ref-11","first-page":"530","article-title":"Dural-based metastatic carcinomas mimicking primary CNS neoplasia: Report of 7 cases emphasizing the role of timely surgery and accurate pathologic evaluation","volume":"4","author":"Savage","year":"2011","journal-title":"Int J Clin Exp Pathol"},{"key":"10.25259\/SNI_733_2023\/ref-12","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2014.12.FOCUS14728","article-title":"Preoperative endovascular embolization of meningiomas: Update on therapeutic options","volume":"38","author":"Shah","year":"2015","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_733_2023\/ref-13","first-page":"1144","article-title":"Solitary dural metastasis from renal cell carcinoma mimicking meningioma nine years after complete remission: Case report and a literature review","volume":"8","author":"Sidani","year":"2018","journal-title":"J Clin Case Rep"},{"key":"10.25259\/SNI_733_2023\/ref-14","doi-asserted-by":"crossref","first-page":"414","DOI":"10.3748\/wjg.v13.i3.414","article-title":"Clinical features and prognosis of patients with extrahepatic metastases from hepatocellular carcinoma","volume":"13","author":"Uka","year":"2007","journal-title":"World J Gastroenterol"},{"key":"10.25259\/SNI_733_2023\/ref-15","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1080\/00207454.2020.1744599","article-title":"Spontaneous acute epidural hematoma associated with chronic subdural hematoma due to dural metastasis of gastric carcinoma: A case report and literature review","volume":"131","author":"Zhao","year":"2021","journal-title":"Int J Neurosci"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-rare-case-of-solitary-isolated-dural-metastasis-from-hepatocellular-carcinoma-mimicking-a-meningioma\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-rare-case-of-solitary-isolated-dural-metastasis-from-hepatocellular-carcinoma-mimicking-a-meningioma\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T08:13:11Z","timestamp":1699603991000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-rare-case-of-solitary-isolated-dural-metastasis-from-hepatocellular-carcinoma-mimicking-a-meningioma\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,10]]},"references-count":15,"alternative-id":["10.25259\/SNI_733_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_733_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11,10]]},"article-number":"398"}}