Cerebellar hemangioblastoma manifesting as hearing disturbance

Neurol Med Chir (Tokyo). 2009 Sep;49(9):418-20. doi: 10.2176/nmc.49.418.

Abstract

A 49-year-old man presented with a rare case of cerebellar hemangioblastoma manifesting as only hearing disturbance. He had suffered from hearing difficulty in the right ear for a few months. Magnetic resonance imaging revealed a cystic mass lesion with an internal fluid level and surrounding flow voids in the right cerebellopontine (CP) angle. Cerebral angiography disclosed a vascular-rich tumor fed by both the superior cerebellar and anterior inferior cerebellar arteries. En bloc resection of the tumor was planned under a preoperative diagnosis of cerebellar hemangioblastoma. The tumor protruded into the CP cistern and compressed cranial nerve VIII. The feeding arteries were meticulously coagulated and the tumor was successfully removed. The histological diagnosis was hemangioblastoma. After the operation, the patient's hearing acuity improved dramatically. Cerebellar hemangioblastoma should be considered in the differential diagnosis of CP angle tumors associated with hearing disturbance.

Publication types

  • Case Reports

MeSH terms

  • Basilar Artery / pathology
  • Basilar Artery / surgery
  • Cerebellar Neoplasms / blood supply
  • Cerebellar Neoplasms / complications*
  • Cerebellar Neoplasms / pathology*
  • Cerebellopontine Angle / pathology
  • Cerebellopontine Angle / surgery
  • Cochlear Nerve / pathology
  • Cochlear Nerve / physiopathology
  • Decompression, Surgical
  • Hearing Loss, Sensorineural / etiology
  • Hemangioblastoma / blood supply
  • Hemangioblastoma / complications*
  • Hemangioblastoma / pathology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neurosurgical Procedures
  • Treatment Outcome
  • Vestibulocochlear Nerve Diseases / etiology*
  • Vestibulocochlear Nerve Diseases / pathology*
  • Vestibulocochlear Nerve Diseases / physiopathology