Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach
Introduction: Hemangioblastomas typically present throughout the neuroaxis, particularly within the cerebellum and spinal cord. A rare case of cystic hemangioblastoma within the quadrigeminal cistern is described. Case Report: A 18-year-old female presented with 3 weeks of worsening headaches and vo...
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2021-12-01
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doaj-236b51c0b0b641a4aa4a4247e1f97bb42021-09-11T04:29:34ZengElsevierInterdisciplinary Neurosurgery2214-75192021-12-0126101254Quadrigeminal cistern cystic hemangioblastoma: A transcystic approachRisheng Xu0Jignesh Tailor1Andrew Luksik2Kurt Lehner3Michael E. Xie4Judy Huang5Eric M. Jackson6Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United StatesDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United StatesDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United StatesDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United StatesDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United States; Medical Scientist Training Program, Johns Hopkins School of Medicine, Baltimore, MD, United StatesDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United StatesDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United States; Corresponding author at. Department of Pediatric Neurosurgery, 600 N Wolfe St, Baltimore, MD, 21287, United States.Introduction: Hemangioblastomas typically present throughout the neuroaxis, particularly within the cerebellum and spinal cord. A rare case of cystic hemangioblastoma within the quadrigeminal cistern is described. Case Report: A 18-year-old female presented with 3 weeks of worsening headaches and vomiting. Workup revealed multiple contrast enhancing lesions throughout the neuroaxis concerning for hemangioblastoma, with the largest cystic mass within the quadrigeminal cistern causing brainstem compression and hydrocephalus. The patient experienced an acute neurologic decompensation likely due to brainstem compression and hydrocephalus, which was temporized by cyst drainage and endoscopic third ventriculostomy. After neurological stabilization and Von Hippel Lindau disease workup, she underwent a suboccipital craniotomy and resection of the hemangioblastoma via a transcystic approach. Intraoperatively, the trochlear nerve was identified and preserved. Conclusion: Operative approaches to the quadrigeminal cistern typically include the infratentorial supracerebellar approach and the occipital transtentorial approach. Here, we describe a safe and efficacious transcystic approach to a quadrigeminal cistern hemangioblastoma.http://www.sciencedirect.com/science/article/pii/S2214751921001663HemangioblastomaQuadrigeminal cistern |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Risheng Xu Jignesh Tailor Andrew Luksik Kurt Lehner Michael E. Xie Judy Huang Eric M. Jackson |
spellingShingle |
Risheng Xu Jignesh Tailor Andrew Luksik Kurt Lehner Michael E. Xie Judy Huang Eric M. Jackson Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach Interdisciplinary Neurosurgery Hemangioblastoma Quadrigeminal cistern |
author_facet |
Risheng Xu Jignesh Tailor Andrew Luksik Kurt Lehner Michael E. Xie Judy Huang Eric M. Jackson |
author_sort |
Risheng Xu |
title |
Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach |
title_short |
Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach |
title_full |
Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach |
title_fullStr |
Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach |
title_full_unstemmed |
Quadrigeminal cistern cystic hemangioblastoma: A transcystic approach |
title_sort |
quadrigeminal cistern cystic hemangioblastoma: a transcystic approach |
publisher |
Elsevier |
series |
Interdisciplinary Neurosurgery |
issn |
2214-7519 |
publishDate |
2021-12-01 |
description |
Introduction: Hemangioblastomas typically present throughout the neuroaxis, particularly within the cerebellum and spinal cord. A rare case of cystic hemangioblastoma within the quadrigeminal cistern is described. Case Report: A 18-year-old female presented with 3 weeks of worsening headaches and vomiting. Workup revealed multiple contrast enhancing lesions throughout the neuroaxis concerning for hemangioblastoma, with the largest cystic mass within the quadrigeminal cistern causing brainstem compression and hydrocephalus. The patient experienced an acute neurologic decompensation likely due to brainstem compression and hydrocephalus, which was temporized by cyst drainage and endoscopic third ventriculostomy. After neurological stabilization and Von Hippel Lindau disease workup, she underwent a suboccipital craniotomy and resection of the hemangioblastoma via a transcystic approach. Intraoperatively, the trochlear nerve was identified and preserved. Conclusion: Operative approaches to the quadrigeminal cistern typically include the infratentorial supracerebellar approach and the occipital transtentorial approach. Here, we describe a safe and efficacious transcystic approach to a quadrigeminal cistern hemangioblastoma. |
topic |
Hemangioblastoma Quadrigeminal cistern |
url |
http://www.sciencedirect.com/science/article/pii/S2214751921001663 |
work_keys_str_mv |
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