Clinical Factors Predicting Outcomes After Surgical Resection for Sporadic Cerebellar Hemangioblastomas

Fukuda, Masafumi; Takao, Tetsuro; Hiraishi, Tetsuya; Yoshimura, Junichi; Yajima, Naoki; Saito, Akihiko; Fujii, Yukihiko

doi:10.1016/j.wneu.2014.06.018

Cited by 52 publications

(41 citation statements)

References 17 publications

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“…Functional postoperative results vary between series and are worse for patients with solid lesions, probably because of greater perilesional edema. [ 6 14 32 39 ] Both in this series and in the one reported by Conway et al ., no significant differences were found in postoperative recovery between solid and cystic HBLs or between sporadic or VHL-associated tumors.…”

Section: Discussionsupporting

confidence: 65%

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Surgical treatment of cerebellar hemangioblastomas

Cervio¹,

Villalonga²,

Mormandi³

et al. 2017

Surg Neurol Int

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Background:Hemangioblastomas (HBL) are uncommon tumors of the central nervous system (CNS), corresponding to 1–2.5% of all intracranial tumors. They can present sporadically or in patients with von Hippel–Lindau (VHL) disease and are most often located in the cerebellum, brainstem, and spinal cord. VHL disease is a multiple neoplasia syndrome inherited in an autosomal dominant fashion and caused by a VHL suppressor gene deletion. We present our experience in the management of patients with cerebellar HBL.Methods:Thirty consecutive patients with cerebellar HBL were included in this study. Hospital charts, radiological images, and operative records were reviewed. Modified Rankin scores were used to evaluate the clinical course.Results:Thirty patients diagnosed with cerebellar HBL were operated. Complete total resection was achieved in 93% of the cases. Postoperatively, 83% of the patients showed good functional recovery.Conclusions:HBL of the cerebellum should be resected when symptomatic or when the tumor (or a tumor-associated cyst) shows signs of enlargement. Surgical intent should seek en bloc resection to minimize intraoperative bleeding. Patients with HBLs must be tested for VHL gene mutations, and in confirmed cases, relatives should be offered genetic counseling.

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Section: Discussionsupporting

confidence: 65%

“…Postoperative tumor recurrence ranged 17–75% for patients with VHL and 5–17% for sporadic cases. [ 14 ] In this series, 2 patients with VHL (50%) and 3 patients with sporadic HBLs (11.5%) presented recurrence.…”

Section: Discussionmentioning

confidence: 72%

Surgical treatment of cerebellar hemangioblastomas

Cervio¹,

Villalonga²,

Mormandi³

et al. 2017

Surg Neurol Int

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“…On the other hand, solid cerebellar hemangioblastomas measuring ≥30 mm are difficult to resect for the following reasons: 7) intra-tumor blood flow is abundant, and the courses of feeders, such as the anterior inferior cerebellar artery, involve the deepest area, making feeder treatment during tumor resection under suboccipital craniotomy difficult. extirpation through favorable embolization effects although catheter adhesion at the time of infusion must be considered.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Embolization of Cerebellar Hemangioblastomas with a Liquid Embolic Material (NBCA) by the “Plug and Push” Technique

Shimizu

Suenaga

Abe

et al. 2018

JNET

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“…4 They also mentioned that solid lesions with preoperative endovascular embolization were completely resected. In addition, Eskridge et al reported that two cases of their series had undergone recent attempt sat surgical resection at another institution.…”

Section: Discussionmentioning

confidence: 99%

A Giant Solitary Solid Hemangioblastoma: A Case Report and Review of The Literature

Bhandari¹,

Sharma²,

Bista³

et al. 2017

Nep J Neurosci

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We present a case of solitary vascular tumor on posterior cranial fossa in a 15-year-old female who had a complaint of headache on/off for six months with associated dizziness, nausea, vomiting and vertigo. Well circumscribed solid vascular mass was localized on posterior fossa by computed tomography along with magnetic resonance imaging scan. Furthermore, the diagnosis was confirmed by surgical findings and histological examinations.Nepal Journal of Neuroscience, Vol. 14, No. 2, 2017 Page: 47-50

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Clinical Factors Predicting Outcomes After Surgical Resection for Sporadic Cerebellar Hemangioblastomas

Cited by 52 publications

References 17 publications

Surgical treatment of cerebellar hemangioblastomas

Surgical treatment of cerebellar hemangioblastomas

Preoperative Embolization of Cerebellar Hemangioblastomas with a Liquid Embolic Material (NBCA) by the “Plug and Push” Technique

A Giant Solitary Solid Hemangioblastoma: A Case Report and Review of The Literature

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