Hemangioblastoma

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

A 25-years-old man with a history of progressive headaches.

Patient Data

Age: 25 years
Gender: Male

MRI Brain

mri
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T1 C+
This study is a stack
Axial
T1 C+
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Info

There is a mid-line solid cerebellar mass compressing the 4th ventricle posteriorly and causing hydrocephalus. The mas show vivid contrast enhancement and small flow voids on T2. 

MRI 8 mth post resection

mri
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
Coronal
T1 C+
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Info

Follow up showing residual/recurrent tumor after resection. 

Case Discussion

The diagnosis was confirmed as hemangioblastoma. Eight months after the surgery, a control MRI exams showed signs of relapse.

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