Status Epilepticus Secondary to Pseudonodular Hemorragic Occipital Lesion with Edema: "Non Semper Ea Sunt, Quae Videntur, Decipit Frons Prima Multos" (Things Are Not Always What They Seem; The First Appearance Deceives Many)

World Neurosurg. 2017 Aug:104:1044.e1-1044.e3. doi: 10.1016/j.wneu.2017.05.114. Epub 2017 May 27.

Abstract

We report a case in which common radiologic images masked a rare case of supratentorial hemangioblastoma (HBL). Other peculiarities of this case are the clinical presentation with status epilepticus and the occurrence of a supratentorial HBL unrelated to von Hippel-Lindau syndrome. Based on clinical and radiologic findings, including massive cerebral edema and hemorrhagic presentation, our preoperative diagnosis was a cerebral metastasis. In this scenario, physicians must take into account the words of the Roman fabulist Phaedrus: "Non semper ea sunt, quae videntur, decipit frons prima multos" (things are not always what they seem; the first appearance deceives many).

Keywords: Hemangioblastoma; Status epilepticus.

Publication types

  • Case Reports

MeSH terms

  • Brain Edema / diagnostic imaging*
  • Cerebral Hemorrhage / diagnostic imaging*
  • Diagnostic Errors*
  • Hemangioblastoma / complications
  • Hemangioblastoma / diagnosis*
  • Hemangioblastoma / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neurosurgical Procedures
  • Occipital Lobe / diagnostic imaging*
  • Status Epilepticus / etiology*
  • Supratentorial Neoplasms / complications
  • Supratentorial Neoplasms / diagnosis*
  • Supratentorial Neoplasms / surgery
  • Tomography, X-Ray Computed
  • von Hippel-Lindau Disease / complications