Presentation of a Hemangioblastoma in cavernous sinus: An extremely rare case report

Tabibkhooei, Alireza; Fattahi, Arash; Rahatlou, Hessam

doi:10.1016/j.ijscr.2018.02.019

Cited by 3 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, only 32 patients had a supratentorial hemangioblastoma with meningeal involvement . [ 1 , 3 - 9 , 11 - 14 , 16 - 19 , 21 , 25 , 27 , 29 , 33 , 35 - 38 , 40 , 42 - 44 , 46 - 48 ] Of the 33 published cases of supratentorial hemangioblastomas with meningeal involvement, including our case, 17 (52%) were male and the other cases were female, and the median age was 50 years. In relation to the intracranial location, 18 (55%) were affecting the frontal lobe, 9 (27%) the parietal lobe, 4 (12%) the occipital lobe, and only 2 (6%) in the sellar/parasellar region.…”

Section: Resultsmentioning

confidence: 75%

See 1 more Smart Citation

Sporadic supratentorial hemangioblastoma with meningeal affection: A case report and literature review

Ortega

Claramonte

Martín

et al. 2021

Surgical Neurology International

View full text Add to dashboard Cite

Background: Hemangioblastomas are vascular tumors, of benign behavior, that originate in the central nervous system. Supratentorial hemangioblastomas are extremely rare and are generally associated with Von Hippel-Lindau disease (VHL). The involvement of structures by contiguity, such as blood vessels or meninges, is something exceptional. There are few references in the literature of supratentorial hemangioblastomas with meningeal involvement and most of them are described in reports or small case series. Methods: We performed a systematic review of the literature to observe the characteristics of patients with supratentorial hemangioblastomas with meningeal involvement. In addition, we present the case of a 43-year-old male patient with a sporadic supratentorial hemangioblastoma with both, meningeal and vascular involvement that recurred years after treatment. Results: The patients presented supratentorial tumors with meningeal involvement, we had a 1.2:1 ratio male-female distribution. The mean age was 50 years. Most tumors were located in the cerebral hemispheres, the lobe affected most frequently was the frontal lobe. About 67% of the cases were sporadic and only 21% were related to VHL disease. There were three cases of recurrence after surgery. Conclusion: Supratentorial hemangioblastomas are extremely rare lesions. It is rare for supratentorial hemangioblastomas to invade adjacent structures such as blood vessels or meninges, however, when this happens, it is recommended a preoperative vascular imaging study, especially in parasagittal hemangioblastomas where superior longitudinal sinus may be involved. In these cases, en bloc surgical resection is difficult and the probability of recurrence is higher. Although clinical trials and studies with a greater casuistry are necessary to establish guidelines for the management of supratentorial hemangioblastomas, nowadays, contribution of new cases is useful for understanding this pathology.

show abstract

Section: Resultsmentioning

confidence: 75%

“…In 2018, Tabibkhooei et al . [ 40 ] described a case in the sellar/parasellar region with cavernous sinus invasion. In 2019, Vicente et al .…”

Section: Discussionmentioning

confidence: 99%

Sporadic supratentorial hemangioblastoma with meningeal affection: A case report and literature review

Ortega

Claramonte

Martín

et al. 2021

Surgical Neurology International

View full text Add to dashboard Cite

show abstract

“…A flow void was observed in the vicinity of the tumor, which was consistent with the typical imaging features of this type of HB. Because HB is abundant in blood supply, in anatomically conducive circumstances, vascular embolization could be performed to reduce bleeding during the perioperative period and associated complications[ 3 , 8 ]. If this case can be correctly diagnosed as HB before surgery, there may be a more suitable surgical plan, and the patient's prognosis will be better.…”

Section: Discussionmentioning

confidence: 99%

Supratentorial hemangioblastoma at the anterior skull base: A case report

Xu¹,

Cao²,

Yin³

et al. 2022

WJCC

View full text Add to dashboard Cite

BACKGROUND Hemangioblastoma (HB) is a rare tumor, comprising about 2% of all intracranial tumors. Although it is a benign tumor, due to the abundant blood supply and its close relationship with adjacent cerebral blood vessels, surgical resection is difficult and may cause complications such as bleeding. If HB can be correctly diagnosed before surgery, complications can be avoided by methods such as vascular embolism before surgery. CASE SUMMARY A 51-year-old male patient was admitted to our hospital because of blurred vision in his left eye for 2 years. Ophthalmological examination revealed oculus dexter vision acuity of 1.0 and oculus sinister vision acuity of 0.6. His left vision had tubular visual field, while his right vision had a partial defect. Computed tomography and magnetic resonance imaging showed a mass lesion at the left anterior base of the skull, which could have been a meningioma. During the operation, the tumor was found to be located at the entrance of the left optic nerve tube, closely adhering to the left optic nerve and the blood supply was extremely abundant. The tumor was carefully separated and diagnosed as HB postoperatively after pathological examination. CONCLUSION A rare HB at the anterior skull base could be distinguished by its imaging features, which is essential to the surgical procedures.

show abstract

“…However, after hemangioblastoma treatment, the incidence of hematoma was much higher at 17.65%; the authors believe that hemangioblastomas are closely associated with a significantly increased incidence of postoperative hematoma. Recently, Tabibkhooei et al (4) reported that a patient with massive hemangioblastoma located in the cavernous sinus was forced to undergo subtotal resection due to severe catastrophic hemorrhage during surgery. The microsurgical removal of SH remains challenging because it is difficult to control intraoperative bleeding and postoperative complications.…”

Section: Original Articlementioning

confidence: 99%

A novel neuroimaging assessment of predictive risk factors associated with intraoperative massive hemorrhage in intracranial solid hemangioblastoma

Gao

Zhang

Wang

et al. 2019

Quant. Imaging Med. Surg.

View full text Add to dashboard Cite

Background: A solid hemangioblastoma (SH) is a benign and highly vascularized tumor. Microsurgical treatment of SH is still challenging due to excessive intraoperative bleeding.Methods: Sixty-six consecutive patients with SH were retrospectively analyzed. The volume of intraoperative blood loss (IBL) and the features detected by magnetic resonance imaging (MRI) were evaluated by a neurosurgeon and multiple neuroradiologists.Results: Four striking MRI features-peritumoral edema, the flow-void effect, large draining veins, and a visible feeding artery-were related to excessive IBL. Regarding the weighted values of these risk factors, the flow-void effect was the factor most significantly correlated with IBL (P<0.01, R=0.418). The feeding artery also contributed substantially to excessive IBL (P<0.05, R=0.412). The next most influential factor was the presence of large draining veins (P<0.05, R=0.350), followed by peritumoral edema (P<0.05, R=0.308). The four major risk factors-the flow-void effect, feeding arteries, large draining veins, and peritumoral edemawere assigned point values of 3, 3, 2, and 1, respectively, for a maximum total score of 9 points. A higher total score indicates that a higher volume of bleeding is more likely to occur during surgery.Conclusions: This study reports the potential neuroimaging-based risk factors leading to abundant IBL in SH by neuroimaging assessment. The study proposes a novel scoring system to predict IBL, potentially decreasing the risk involved in the surgical treatment of SH.

show abstract

Presentation of a Hemangioblastoma in cavernous sinus: An extremely rare case report

Cited by 3 publications

References 6 publications

Sporadic supratentorial hemangioblastoma with meningeal affection: A case report and literature review

Sporadic supratentorial hemangioblastoma with meningeal affection: A case report and literature review

Supratentorial hemangioblastoma at the anterior skull base: A case report

A novel neuroimaging assessment of predictive risk factors associated with intraoperative massive hemorrhage in intracranial solid hemangioblastoma

Contact Info

Product

Resources

About