Hepatoblastoma metastatic to brain mimicking intracranial hemorrhage: Case report and literature review

Many pediatric malignancies have a propensity for CNS metastases. Metastases have been reported to present as intracranial hemorrhages, occasionally without a discernible underlying mass. Lack of contrast enhancement should not be exclusionary criteria for intracranial metastases in these patients. Our case is a metastatic lesion presenting as an intracranial hemorrhage without an identifiable solid component on imaging in a patient with hepatoblastoma. Radiologists should consider metastases in cases of intracranial hemorrhage in a child.