Intracranial Hemorrhage in a Young Woman: An Unusual Initial Presentation of Undiagnosed Choriocarcinoma

• Main Authors: Navneet Agarwal, S. K. Jain, Vinod Sharma, Shashi Singhvi, Sapna Gandhi
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-04-01
• Series: Journal of Neurosciences in Rural Practice
• Subjects: beta-human chorionic gonadotropin; choriocarcinoma; initially presenting; intracranial hemorrhage
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/jnrp.jnrp_307_18

Choriocarcinoma is an uncommon tumor. Undiagnosed choriocarcinoma initially presenting with intracranial hemorrhage in an apparently healthy female is rare and presents a diagnostic difficulty. The authors report a case presenting as intracranial hemorrhage of unsuspected choriocarcinoma. As the measurement of beta-human chorionic gonadotropin (β-hCG) would have helped in the preoperative diagnosis, estimation of serum β-hCG levels is suggested in the diagnostic workup of a female of reproductive age group when radiological investigations are inconclusive. Craniotomy and excision of tumor followed by chemotherapy and radiotherapy may improve the outcome.