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Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
[Cystic bulbar hemangioblastoma]
T Temprano1, R Fernández-de León, J C Rial
1Servicio de Neurología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España. teresatemp@hotmail.com
Revista De Neurologia
|July 26, 2008
Summary
This case report details an infrequent presentation of a brain hemangioblastoma in the bulbar region, manifesting as persistent hiccups. Surgical removal led to a satisfactory patient outcome, highlighting a rare neurological symptom associated with this tumor type.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Hemangioblastomas are benign vascular neoplasms, accounting for 2-3% of brain tumors.
- Typically found in the posterior fossa (7-12% of related processes), with initial descriptions dating to 1904.
- Commonly occur in the cerebellar vermis and hemispheres.
Observation:
- A 41-year-old male presented with a three-week history of intermittent hiccups.
- Neurological examination revealed left thoracic-abdominal hypoesthesia.
- Neuroimaging identified a well-defined, cystic tumor in the bulbar region.
Findings:
- Surgical suboccipital craniectomy achieved complete lesion removal.
- Histological examination confirmed the diagnosis of hemangioblastoma.
- The patient experienced a satisfactory recovery with no new neurological symptoms.
Implications:
- This case highlights the infrequent bulbar localization of hemangioblastomas, representing less than 5% of cerebral cases.
- Presents hiccups as a rare clinical manifestation of a brain hemangioblastoma.
- Underscores the importance of considering rare tumor locations and presentations in neurological diagnostics.
