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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
"spinal cord"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
canavan disease
child syndrome
congenital toxoplasmosis
cystinuria
erdheim-chester disease
esophageal carcinoma
gm1 gangliosidosis
homocystinuria without methylmalonic aciduria
krabbe disease
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
pleomorphic liposarcoma
proteus syndrome
thoracic outlet syndrome
triple a syndrome
von hippel-lindau disease
x-linked adrenoleukodystrophy
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