Cervico-medullary junction hemangioblastomas. Report of two cases and review of the literature.

Abstract:

:Reporting two cases of dorsally located cervico-medullary hemangioblastomas the Authors discuss clinico-biological features, diagnosis and therapy of this vascular neoplasms, analyzing the cases reported in detail in the available literature. In this site the tumor has often an exophitic development, adhering more or less extensively to the posterior surface of medulla oblungata, where progressively creates a niche. Transient neurogenic arterial blood hypertension, by possible involvement of the dorsal nucleus of vagal nerve, together with the lack of postoperative respiratory disturbances constitute the main clinical features of differentiation with intraaxial hemangioblastomas of the brainstem. Actually MRI represents the radiological investigation of choice, even if angiography still plays an important role in the correct preoperative diagnosis of hemangioblastomas. The therapy of dorsally located cervico-medullary hemangioblastomas is the total removal of the lesion also in asymptomatic patients, being the late surgical results generally successful.

journal_name

J Neurosurg Sci

authors

Ferrante L,Mastronardi L,Acqui M,Missori P,Tacconi L,Fortuna A

keywords:

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

59-65

issue

1

eissn

0390-5616

issn

1827-1855

journal_volume

36

pub_type

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