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Hemorrhagic intramedullary hemangioblastoma of the cervical spinal cord presenting with acute-onset quadriparesis: Case report and review of the literature.
[von hippel-lindau disease]
Context
Hemangioblastomas
of
the
spinal
cord
are
uncommon
vascular
tumors
.
Patients
commonly
present
with
subtle
neurologic
findings
that
are
thought
to
represent
growth
of
the
lesion
over
time
.
Hemorrhage
of
an
intramedullary
hemangioblastoma
presenting
as
acute
neurologic
deficit
is
an
extremely
rare
occurrence
.
Although
the
cervical
spine
is
the
most
common
location
for
hemangioblastoma
of
the
spinal
cord
,
there
have
been
no
previously
published
cases
in
the
literature
of
intramedullary
hemorrhage
from
such
a
lesion
.
Findings
A
22
-
year
-old
woman
with
a
previously
undiagnosed
spinal
cord
hemangioblastoma
presented
with
sudden-onset
dense
quadriparesis
due
to
intramedullary
hemorrhage
in
the
cervical
spinal
cord
.
The
patient
did
not
have
any
clinical
findings
of
von
-
Hippel
Lindau
disease
.
Laminoplasty
from
C
5
to
T
2
and
posterior
midline
myelotomy
for
resection
of
the
intramedullary
tumor
with
hematoma
evacuation
were
completed
without
complication
.
Conclusion
Intramedullary
hemangioblastoma
of
the
spinal
cord
is
uncommon
,
and
hemorrhage
from
a
cervical
spinal
cord
lesion
has
not
previously
been
reported
.
Symptoms
from
these
usually
indolent
lesions
are
commonly
associated
with
tumor
growth
,
edema
,
or
associated
syrinx
,
whereas
devastating
acute
neurologic
deficit
from
hemorrhage
is
exceedingly
rare
.
Microsurgical
resection
should
be
done
in
cases
of
symptomatic
lesions
and
considered
in
isolated
symptomatic
lesions
without
the
known
diagnosis
of
von
Hippel-
Lindau
disease
.
Diseases
Validation
Diseases presenting
"edema"
symptom
acute rheumatic fever
adrenomyeloneuropathy
aniridia
cadasil
canavan disease
classical phenylketonuria
coats disease
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
erythropoietic protoporphyria
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
inclusion body myositis
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
pleomorphic liposarcoma
systemic capillary leak syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
This symptom has already been validated