[First manifestation of choriocarcinoma in a 24-year-old patient in the form of hemiparesis].

We report on a case of a 24 years old woman with a high risk metastatic choriocarcinoma. The last pregnancy and delivery was 15 months ago. As a first symptom a complete paralysis of the upper right extremity was found. In the following a rapid progression of the disease with severe multiple cerebral and retroperitoneal bleedings was seen. Among chemotherapy and intensive care treatment the HCG-titre decreased quickly and the bleedings stopped but no change in the neurological condition was observed.