A Rare Case of Multiple Cranial Nerve Palsies as the First Presentation of Hepatocellular Carcinoma: A Case Report and Review of Literature

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer. It mainly occurs in patients with chronic diseases such as cirrhosis caused by hepatitis B or C infections, well alcoholics. HCC one highly malignant neoplasms. Extrahepatic metastases are seen 64% HCC, but to brain and skull extremely rare. Here, case a 45-year-old male who presented left III, IV, VI, IX, X, XII cranial nerve palsies reported. These were revealed be distant metastasis from an unnoticed background previously undiagnosed alcoholic disease. Physicians should aware metastatic potential addition its uncommon presentations, while encountering underlying This report demonstrates that can lead rare, possible, new onset neuropathy.