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Hemangioblastoma of the optic nerve producing bilateral optic tract edema in a patient with von Hippel-Lindau disease.
[von hippel-lindau disease]
The
authors
present
a
novel
case
of
a
hemangioblastoma
of
the
optic
nerve
producing
bilateral
optic
tract
edema
in
a
patient
with
von
Hippel-
Lindau
disease
(
VHL
)
.
This
is
the
only
case
in
the
literature
documenting
optic
tract
edema
secondary
to
a
hemangioblastoma
of
the
optic
nerve
.
The
patient
was
a
34
-
year
-old
female
in
whom
this
lesion
was
causing
retro-orbital
pain
and
proptosis
.
She
had
previously
lost
vision
in
the
symptomatic
eye
secondary
to
a
retinal
hemangioblastoma
.
The
optic
nerve
lesion
was
excised
by
sectioning
the
optic
nerve
both
proximally
and
distally
to
the
lesion
.
There
were
no
complications
and
patient
's
symptoms
resolved
postoperatively
.
A
follow-up
magnetic
resonance
imaging
(
MRI
)
scan
revealed
complete
excision
of
the
mass
and
resolution
of
the
optic
tract
edema
.
Optic
nerve
hemangioblastomas
in
patients
with
VHL
are
rare
,
but
are
manageable
with
meticulous
microneurosurgery
and
with
appropriate
patient
expectations
.
This
is
the
first
known
case
of
an
optic
nerve
hemangioblastoma
producing
bilateral
optic
tract
edema
,
which
resolved
after
resection
of
the
prechiasmal
tumor
.
Hemangioblastoma
should
remain
in
the
differential
diagnosis
of
optic
nerve
tumors
,
especially
in
the
setting
of
VHL
.
Diseases
Validation
Diseases presenting
"known case of an optic nerve hemangioblastoma"
symptom
von hippel-lindau disease
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