Introduction: Hemangioblastomas are tumors constantly present in the neurosurgeon's daily life, affecting mainly the posterior fossa region. In patients with von Hippel-Lindau, their presence is even more striking. However, the authors, through a report of a case with the literature review, show that hemangioblastomas should also be part of the range of differential diagnoses of supratentorial lesions even in patients not carrying the genetic mutation.
Methods: We retrospective analyse pertinent literature about supratentorial hemangioblastomas with or without von Hippel disease and illustrate with a case operated by the authors.
Results: Supratentorial hemangioblastomas are rare with little information in the literature to guide management specially without von Hippel disease. According to this it diagnosis is not suggested until the pathological definition. But as described it must be between the differential diagnosis of extra-axial tumors to accurately make its surgery the best of what is possible to avoid recurrence and had better results. Our case illustrate that with gross total resection , supratentorial hemangioblastoma can be well controlled, with no recurrence even 3 years after surgery.
Conclusions: Hemangioblastomas are tumors affecting mainly the posterior fossa region specially in patients with von Hippel-Lindau disease. However, the authors, through a report of a case and literature review, show that hemangioblastomas should also be part of the range of differential diagnoses of supratentorial lesions even in patients not carrying the genetic mutation.
Patient Care: With this research, doctors will could improve care of patients with supratentorial hemangioblastomas, specially concerning on their diagnosis, best strategies to treat and recurrence avoidance.
Learning Objectives: By the conclusion of this presentation, participants should be able to know natural history of supratentorial hemangioblastomas with or without Von Hippel-Lindau disease, its management and best strategies of treatment. And with the case reported to know and fix special characteristics of this kind of tumors.
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