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Delayed fatal cerebellar hemorrhage caused by hemangioblastoma after successful radiosurgical treatment

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Authors and Affiliations

  1. Department of Neurological Surgery, Konkuk University Medical Center, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729, Korea

    Young Il Chun, Joon Cho, Chang Taek Moon & Young Cho Koh

Authors
  1. Young Il Chun
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  2. Joon Cho
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  3. Chang Taek Moon
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  4. Young Cho Koh
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Correspondence to Young Il Chun.

Additional information

Young Il Chun and his colleagues present a sad but interesting case of a patient whose hemangioblastoma bled several years after radiosurgery. The tumour mass was apparently under control during the post-treatment period.

Their analysis is sound. It must be the case that the vascular changes described here and in the past in these tumours (1) and indeed in AVMs, which in the majority lead to a stronger vessel wall, reduced blood flow and altogether safer situation (2), may in some cases go the other way where apoptosis and necrosis dominates. Whether we will ever be able to predict whose lesion behaves in this unusual manner, it is difficult to say. For now we do not have such a method. Fortunately, the statistics remain favourable.

1. Rajaraman C, Rowe JG, Walton L, Malik I, Radatz M, Kemeny AA. Treatment options for von Hippel-Lindau’s haemangioblastomatosis: the role of gamma knife stereotactic radiosurgery. Br J Neurosurg. 2004 Aug;18(4):338–42.

2. Szeifert GT, Timperley WR, Forster DM, Kemeny AA. Histopathological changes in cerebral arteriovenous malformations following Gamma Knife radiosurgery. Prog Neurol Surg. 2007;20:212–9.

Andras Kemeny

Sheffield, UK

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Chun, Y.I., Cho, J., Moon, C.T. et al. Delayed fatal cerebellar hemorrhage caused by hemangioblastoma after successful radiosurgical treatment. Acta Neurochir 152, 1625–1627 (2010). https://doi.org/10.1007/s00701-010-0669-7

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  • DOI: https://doi.org/10.1007/s00701-010-0669-7

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