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[A supratentorial hemangioblastoma].

G Layer1, F Gückel, M Marin-Grez

  • 1Institut für Radiologie und Pathophysiologie, Deutsches Krebsforschungszentrum, Heidelberg.

Der Radiologe
|May 1, 1990
PubMed
Summary

This case report details a rare supratentorial hemangioblastoma co-occurring with liver hemangiomas, notably without signs of von Hippel-Lindau disease. The study highlights diagnostic challenges and differential diagnoses for brain tumors.

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Area of Science:

  • Neurology
  • Oncology
  • Radiology

Background:

  • Supratentorial hemangioblastomas are rare primary brain tumors.
  • Co-occurrence of central nervous system hemangioblastomas with visceral hemangiomas is uncommon.
  • Von Hippel-Lindau disease is a genetic disorder associated with hemangioblastomas, but its absence in this case is noteworthy.

Observation:

  • A cystic hemangioblastoma was identified in the right parietal lobe.
  • The cerebral lesion contained a calcified area.
  • No mural solid nodules were visible within the hemangioblastoma.
  • Two hemangiomas were also present in the liver.

Findings:

  • The case presents a unique combination of supratentorial hemangioblastoma and hepatic hemangiomas.

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  • Absence of clinical manifestations typical of von Hippel-Lindau disease in this patient.
  • Computed Tomography (CT) and Magnetic Resonance Imaging (MRT) were utilized for diagnosis.
  • Differential diagnoses considered included arachnoidal cyst, glioma, Echinococcosis, hamartoma, and metastasis.

    • Implications:

    • This case expands the understanding of hemangioblastoma presentations.
    • Highlights the importance of comprehensive imaging and differential diagnosis in neuro-oncology.
    • Suggests that hemangioblastomas can occur in the absence of von Hippel-Lindau disease, posing diagnostic challenges.