Massive hemorrhage in hemangioblastomas Literature review.

Abstract:

:Massive hemorrhage is a very uncommon event among hemangioblastomas. Forty-four cases have been reported before this review. Thorough analysis of all reported cases on literature was accomplished. The majority presented as parenchymatous or subarachnoid bleedings. Subarachnoid hemorrhage was only associated with spinal hemangioblastomas, while parenchymatous bleedings were more, but not only, originated from cranial instances. Ventricular hemorrhage from a hemangioblastoma was exceptional, with only two previous cases bleeding directly into the ventricular compartment. To our knowledge, the illustrative case is the first one of pure tetraventricular hemorrhage from a hemangioblastoma. When hemangioblastoma bleeding occurs, it is usually the very first clinical presentation of a previously undetected tumor. Solid type, large size, and spinal-radicular locations are more frequently related to hemorrhage. Hemorrhage following hemangioblastoma embolization and the association of this tumor with other bleeding lesions, such as arteriovenous malformations and aneurysms, is also discussed.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

de San Pedro JR,Rodríguez FA,Níguez BF,Sánchez JF,López-Guerrero AL,Murcia MF,Vilar AM

doi

10.1007/s10143-009-0217-1

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

11-26

issue

1

eissn

0344-5607

issn

1437-2320

journal_volume

33

pub_type

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