HEPATOCELLULAR-CARCINOMA PRESENTING WITH PARANEOPLASTIC NEUROLOGIC SYNDROME IN A HEPATITIS-B SURFACE ANTIGEN-POSITIVE PATIENT

We report a hepatitis B surface antigen-positive patient who presented with paraneoplastic peripheral sensorimotor polyneuropathy and crania l nerve involvement, 6 months before a diagnosis of hepatocellular car cinoma was made. This makes us think that neurologic manifestations in hepatitis B surface antigen-positive patients warrant investigation t o exclude an underlying hepatocellular carcinoma.