Journal of Neurosciences in Rural Practice
Year : 2019  |  Volume : 10  |  Issue : 2  |  Page : 371-373

Intracranial hemorrhage in a young woman: An unusual initial presentation of undiagnosed choriocarcinoma

1 Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Pathology, Pathocare Diagnostic and Research Center, Jaipur, Rajasthan, India
3 Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
S K Jain
Department of Neurosurgery, SMS Medical College, Jaipur - 302 004, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jnrp.jnrp_307_18

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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.

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