|
KMID : 0377619740270060569
|
|
Korean Jungang Medical Journal
1974 Volume.27 No. 6 p.569 ~ p.573
|
|
|
A Case of Supratentorial Hemangioblastoma
|
|
|
|
|
Abstract
|
|
|
Supratentorial hemangioblastomas are extremely rare since almost all of the hemangioblastomas of the central nervous system were occurred in the cerebellum.
We have experienced a case of the right parieto-occipital hemangioblastoma which was removed successfully and confirmed histologically.
A 64-year-old woman was admitted to St. Mary´s Hospital, Catholic Medical College in October, 1973, because of headache, vomiting, left hemiparesis and mental confusion. She had had severe headache since 6 months prior to admission and associated with frequent nausea and vomiting. Mental confusion and progressive left hemiparesis were detected by family since 2 months prior to admission.
On admission, neurological examination revealed drowsiness and disorientation. Ophthalmological examination disclosed visual impairment, papilledema and left inferior quadrantanopsia. There was left face supranuclear type weakness and left hemiparesis with positive pathological reflex.
Right carotid angiogram showed a well demarcated homogenous round tumor stain at paramedian area of the right parieto-occipital Iobe.
Brain scan with 99´Tc pertechnetate showed a round uptake at the right parieto-occipital region.
Through the right temporo-parieto-occipital craniotomy we found a brownish red solid mass which was embedded into medial aspect of the occipital lobe adjacent to falx. The tumor was not attached to the meninges or falx. The tumor was successfully removed en bloc, and it was measured 5. 5cm X4. 5cm X2. 5cm in size.
Postoperative course was uneventful and follow-up observation noted improvement of previous symptoms and signs except visual defect.
Histological features of the tumor showed numerous delicate vascular channels primarily of capillary type with blood in the lumina of the large vessels. Histological diagnosis was hemangioblatoma.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|