Case Report

Von Hippel-Lindau Disease Presenting With Cranial and Spinal Hemangioblastomas: MRI Findings

MRI of hemangioblastomas

Abstract

Hemangioblastoma (HB) is one of the most common primary neoplasms of the posterior fossa in adults. Although single tumors can be sporadic, multiple tumors are almost always associated with von Hippel-Lindau (VHL) disease. In our case report, we are describing a 39-year-old woman with complaints of severe headache, pain, and numbness in both arms. She had a history of VHL disease. We performed contrast-enhanced cranial and cervical spine magnetic resonance imaging (MRI) examinations. Given the patient’s history of VHL disease and characteristic MR imaging features of lesions, cranial and cervical HBs were considered for diagnosis. Surgical excision is the main treatment of these tumors and follow-up optimal imaging of these patients is crucial. In the screening of VHL patients, whole spinal axis imaging in conjunction with routine MRI studies must always be performed to rule out spinal HBs.

1. Moorthy S, Prabhu NK, Sreekumar KP. Von Hippel-Lindau disease. Indian J Radiol Imaging 2002;12:325-7.
2. Bamps S, Calenbergh FV, Vleeschouwer SD, Loon JV, Sciot R, Legius E, et al. What the neurosurgeon should know about hemangioblastoma, both sporadic and in von Hippel-Lindau disease : a literature review. Surg Neurol Int 2013;8:145.
3. Slater A, Moore NR, Huson SM. The natural history of cerebellar hemangioblastomas in von Hippel-Lindau disease. AJNR Am J Neuroradiol 2003;24:1570-4.
4. Bründl E, Schödel P, Ullrich OW, Brawanski A, Schebesch KM. Surgical resection of sporadic and hereditary hemangioblastoma: our 10-year experience and a literature review. Surg Neurol Int 2014;22:138.
5. Nguyen TH, Pham T, Strickland T, Brewer D, Belirgen M, Al-Rahawan MM. Von Hippel-Lindau with early onset of hemangioblastoma and multiple drop-metastases like spinal lesions. Medicine (Baltimore) 2018;97:e12477.
6. Tattersall DJ, Moore NR. Von Hippel-Lindau disease : MRI of abdominal manifestations. Clin Radiol 2002;57:85-92.
Files
IssueVol 61 No 2 (2023) QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/acta.v61i2.12557
Keywords
Hemangioblastoma Magnetic resonance imaging Von hippel-lindau

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Halefoglu A. Von Hippel-Lindau Disease Presenting With Cranial and Spinal Hemangioblastomas: MRI Findings. Acta Med Iran. 2023;61(2):115-117.