Objective: This retrospective case series analyzes two cases of hemangioblastomas in the cervicomedullary junction.
Methods: A survey of the pediatric staff and of the operative reports from medical records with a review of the literature and medical records of patients with the condition was conducted.
Results: Two patients were successfully treated surgically.
Conclusion: Surgery is the treatment of choice for hemangioblastomas of the cervicomedullary junction. Careful monitoring for unique complications, treatment of the tumor as a vascular malformation, and screening for von Hippel Lindau must all be employed to safely care for this challenging group of patients.
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http://dx.doi.org/10.1007/s00381-006-0279-0 | DOI Listing |
Neurosurgery
March 2024
Department of Neurosurgery, Stanford University School of Medicine, Stanford , California , USA.
Background And Objectives: Stereotactic radiosurgery (SRS) has been an attractive treatment modality for both cranial and spinal hemangioblastomas, especially for multiple lesions commonly associated with von Hippel-Lindau (VHL) disease. This study aims to provide the largest long-term analysis of treatment efficacy and adverse effects of SRS for cranial and spinal hemangioblastomas at a single institution.
Methods: We evaluated the clinical and radiological outcomes of patients with hemangioblastomas treated with CyberKnife SRS at our institute from 1998 to 2022.
J Neurosurg Case Lessons
November 2021
Department of Neurosurgery, Odense University Hospital, Southern Denmark, Denmark.
Background: Surgery at the cervicomedullary junction carries a risk of damaging vital brainstem functions. Because the nucleus of the solitary tract (NS) is involved in the baroreceptor reflex, damage to its integrity may lead to orthostatic hypotension.
Observations: A 56-year-old man with a medical history of hypertension, von Hippel-Lindau disease, and previous bilateral adrenalectomy due to pheochromocytoma was referred with symptoms of dysphagia and paralysis of the left vocal cord.
Neurooncol Adv
September 2020
Department of Oncology, McMaster University, Hamilton, Ontario, Canada.
Neurochirurgie
November 2020
Service de neurochirurgie, Assistance publique-Hôpitaux de Paris, hôpitaux universitaires Paris-Sud, centre hospitalier universitaire de Bicêtre, Paris, France; PREDIR National rare adult cancer reference network: INCa, Assistance publique-Hôpitaux de Paris, GHU Paris-Sud - hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Introduction: Subarachnoid haemorrhage (SAH), secondary to spinal hemangioblastoma (HBL), is extremely rare, with only a few case reports to date. We report the experience of our reference centre for spinal tumours and Von Hippel-Lindau (VHL) disease in patients with spinal HBL presenting with SAH. We further performed a systematic review of the literature.
View Article and Find Full Text PDFNeurol India
September 2019
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Introduction: Hemangioblastomas [75% sporadic, 25% with Von Hippel Lindau (VHL) disease] are highly vascular, benign lesions. The surgical nuances, management, and complication avoidance in brain-stem hemangioblastomas (BHs) have been studied.
Material And Methods: Over 18 years, 27(mean age: 29 years; range 15-60 years) consecutive cases of BH underwent microsurgical excision.
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