Cerebellar hemangioblastoma

Case contributed by Townsville radiology training
Diagnosis probable


7/52 headaches, inco-ordination and nausea. CT brain shows posterior fossa lesion - cystic / solid. ? hemangioblastoma for further assessment and pre op planning

Patient Data

Age: 63
Gender: Female

In order - T2 axial, FLAIR (sag, axial, coronal), post Gadolidium T1 axial.

Cystic lesion with fluid similar to CSF (as seen on FLAIR sequences). A solid component which is enhancing on Post GAD is seen in the periphery of the lesion.

Case Discussion

This is typical of a cerebellar hemangioblastoma. 

Differential diagnosis: pilocytic astrocytoma. However will not expect this kind of enhancement on periphery.    

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