Hemangioblastoma of Cerebral Aqueduct Removed via Sitting, Supracerebellar Intracollicular Approach.

Abstract:

BACKGROUND:Tumors protruding into the cerebral aqueduct are rare, and tumors arising from within the cerebral aqueduct are rarer still. CASE DESCRIPTION:In this report, we discuss the presentation and clinical outcome of a 65-year-old man who presented to us with symptoms of hydrocephalus. Prior imaging had revealed a small enhancing nodule within the cerebral aqueduct. In the 6 months between initial imaging and our seeing the patient, the tumor demonstrated substantial interval growth, so the patient was offered resection. The tumor was accessed using a sitting, supracerebellar, intracollicular approach, which allowed for gross total resection of the mass without complication. Histopathology later revealed the lesion to be a hemangioblastoma. Two years after surgery, the patient was doing well with no neurologic deficits. CONCLUSIONS:We report the first case of an aqueductal hemangioblastoma and describe our use of a sitting, supracerebellar, intracollicular approach to access tumors occupying this cerebrospinal fluid space.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Briggs RG,Jones RG,Conner AK,Allan PG,Homburg HB,Maxwell BD,Fung KM,Sughrue ME

doi

10.1016/j.wneu.2019.03.206

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

155-159

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)30886-1

journal_volume

127

pub_type

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