Hemangioblastoma in the Setting of Von Hippel Lindau Disease: A Case Report
- Author:
Raajini Devi K
;
Aida Zairani MI
;
Hazlita MI
;
Jemaima CH
;
Farizal F
;
Safinaz MK
- Publication Type:Case Reports
- Keywords:
craniotomy;
hemangioblastoma;
hemangioma;
photocoagulation;
scotoma;
Von Hippel Lindau disease
- MeSH:
Hemangioblastoma;
von Hippel-Lindau Disease
- From:Journal of Surgical Academia
2016;6(1):54-58
- CountryMalaysia
- Language:English
-
Abstract:
A 21-year-old Chinese gentleman with no known medical illness, presented with a history of right painless blurring
of vision with central scotoma of two weeks duration. He also had a history of multiple episodes of seizures prior to
presentation. Visual acuity was 1/60 with unremarkable anterior segment findings and no relative afferent pupillary
defect. Fundus examination of the right eye revealed dilated and tortuous retinal veins with multiple retinal capillary
hemangiomas and sub retinal hard exudates at the macula with edema. A diagnosis of Von Hippel Lindau disease
was made when a posterior fossa mass suggestive of hemangioblastoma with obstructive hydrocephalus was seen on
computed tomography of the brain. Craniotomy with nodule excision was performed. The retinal capillary
hemangiomas were treated with the combination of laser photocoagulation and intravitreal Ranibizumab injections.
Visual acuity subsequently improved to 6/36.
- Full text:P020160607507114738882.pdf
