Suprasellar hemangioblastoma with reversible edema-like change along the optic tract: a case report.

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Suprasellar hemangioblastoma with reversible edema-like change along the optic tract: a case report.

World Neurosurg. 2018 Mar 23;:

Authors: Hattori Y, Tahara S, Yamada O, Yamaguchi M, Ishisaka E, Morita A

Abstract
BACKGROUND: Hemangioblastomas usually occur in the cerebellum, and are often a component of the von Hippel-Lindau disease. Edema-like changes along the optic tract are commonly observed in association with tumors in the sellar and suprasellar regions, such as craniopharyngiomas and pituitary adenomas. Here, we describe a case of sporadic suprasellar hemangioblastoma with edema-like changes along the optic tract that completely resolved after surgery CASE DESCRIPTION: The patient was a 28-year-old woman with failing vision and a bitemporal hemianopia. Magnetic resonance imaging (MRI) revealed a tumor which was accompanied by a 10 mm cyst. Fluid-attenuated inversion recovery axial MRI revealed a hyperintense region along the optic tract. Other regions of the central nervous system were normal. Endoscopic transsphenoidal surgery was performed and the histopathologic findings confirmed hemangioblastoma. Six months after surgery, the edema-like change along the optic tract had disappeared, and the patient is doing well without pituitary insufficiency, pituitary hormone medications, or signs of tumor recurrence. In addition, the genetic test was negative for VHL mutations.
CONCLUSIONS: When examining a patient with suprasellar tumor, clinicians must consider the possibility of hemangioblastoma, and adequate treatment can improve the edematous change and visual disturbance.

PMID: 29581015 [PubMed - as supplied by publisher]

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