Metastatic Choriocarcinoma Masquerading As An Intracerebral Arteriovenous Malformation Bleed

Choriocarcinoma is a highly malignant rare tumor known to metastatise to the brain. We describe a case of a twenty-two year old unmarried female who did not have past history of pregnancy presenting to us with intra-cerebral haemorrhage with angiographic findings suggestive of arteriovenous malformation (AVM). Histology of the high parietal lesion confirmed it to be a choriocarcinoma. Bleeding in a metastatic choriocarcinoma should therefore be considered in the differential diagnosis of intracerebral bleeding in females of child bearing age.