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Intramedullary cervical spinal cord and cerebellar hemangioblastoma: A case report
Héctor Alonso Tirado-Ornelas1, Jorge Luis Olivares-Peña1, Jorge Luis Olivares-Camacho2
1Department of Neurosurgery, Specialties Hospital, La Raza National Medical Center, Mexican Social Security Institute, Mexico City, Mexico.
Background:
Hemangioblastomas are benign tumors that develop in the central nervous system. They represent 1.5-2.5% of all intracranial tumors, and about 2-15% of all spinal cord tumors. They are highly associated with von Hippel-Lindau disease.
Case Description:
A 36-year-old female presented with a 4-year history of progressive right upper extremity distal weakness and cervical pain. The magnetic resonance imaging demonstrated a homogeneously, contrast enhancing intradural/intramedullary tumor at C6-C7 with perilesional edema and a syrinx accompanied by a cerebellar cyst with a mural nodule. Surgery included excision of the spinal lesion and decompression and excision of the cerebellar cyst and mural nodule (i.e., median suboccipital craniectomy and cervical C5-C7 laminectomy).
Conclusion:
Surgery is the gold standard treatment for symptomatic hemangioblastomas, and surgical approaches should minimize risk.
