Intracerebellar hemorrhage due to cerebellar hemangioblastoma

Matsumura, Akira; Maki, Yutaka; Munekata, K; Kobayashi, Eiki

doi:10.1016/0090-3019(85)90190-9

Cited by 10 publications

(2 citation statements)

References 11 publications

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“…Hemangioblastomas rarely hemorrhage. 9,22 In our case, the hematoma was most likely due to aneurysm rupture.…”

Section: Discussionmentioning

confidence: 57%

An intracranial aneurysm on the feeding artery of a cerebellar hemangioblastoma

Guzman¹,

Grady²

1999

Journal of Neurosurgery

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A case of cerebellar hemangioblastoma with a coexistent arterial aneurysm on the feeding artery of the tumor is reported. The patient presented with an acute onset of headache, loss of consciousness, and left-sided hemiparesis due to a posterior fossa hemorrhage found adjacent to a hemangioblastoma. Four-vessel angiography revealed an aneurysm on the anterior inferior cerebellar artery (AICA), which was the main feeding vessel of the hemangioblastoma. Successful total excision of the hemangioblastoma and clipping of the AICA aneurysm achieved in a one-stage operation was demonstrated on postoperative angiography.

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“…Hemangioblastomas rarely hemorrhage. 9,22 In our case, the hematoma was most likely due to aneurysm rupture.…”

Section: Discussionmentioning

confidence: 57%

An intracranial aneurysm on the feeding artery of a cerebellar hemangioblastoma

Guzman¹,

Grady²

1999

Journal of Neurosurgery

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“…6) Although spontaneous hemorrhage is a very uncommon event in the natural history of HB, 4,6,13) uncontrollable intraoperative hemorrhage sometimes occurs. Endovascular embolization of the feeding artery and subsequent operative resection are the recommended procedures, because preoperative embolization can control the arterial supply and reduce tumor vascularity.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Endovascular Embolization for Hemangioblastoma in the Posterior Fossa

Sakamoto

Ishikawa

Nakai

et al. 2012

Neurol. Med. Chir.(Tokyo)

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Intracranial hemangioblastomas (HBs) are hypervascular neoplasms mainly located in the posterior fossa of the central nervous system. Preoperative embolization of the feeding arteries is one proposal for reduction of intraoperative hemorrhage, although indications for the procedures should be evaluated carefully due to the potential complications. This retrospective study investigated clinical outcomes and complications of 15 patients with HBs in the posterior fossa to evaluate the safety and effectiveness of endovascular procedures as well as angiographical procedures. Surgical excision without presurgical embolization was performed in 8 cases, and excision with presurgical embolization was performed in 7 cases, using Guglielmi detachable coils with or without polyvinyl alcohol (GDC ± PVA) in 4 cases and only n-butyl 2-cyanoacrylate (NBCA) in 3 cases. The embolization was applied for selected cases in which feeding arteries were located in a deep site and hard to coagulate surgically. Partial embolization was achieved in 5 cases, and all feeders were successfully embolized in 2 cases. Total removal was achieved in 12 cases, and subtotal/partial removal was achieved in 3 cases. Subarachnoid hemorrhage with intratumoral hemorrhage occurred in 1 case during the angiographic procedure and in 1 case during the embolization procedures. The mean volume of intraoperative blood loss was clearly less in the NBCA group than in the GDC ± PVA group. HBs are mainly located in the posterior cranial fossa, so the risk of severe clinical complication may be high if vascular problems occur. In our series, presurgical embolization using NBCA made tumor removal safe and reduced bleeding volume in posterior fossa HBs.

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