PT  - JOURNAL ARTICLE
AU  - Orlando De Jesus
AU  - Julio Rosado-Philippi
TI  - Spinal leptomeningeal hemangioblastomatosis occurring without craniospinal surgery in von Hippel-Lindau disease
AID  - 10.1136/bcr-2022-249758
DP  - 2022 Aug 01
TA  - BMJ Case Reports
PG  - e249758
VI  - 15
IP  - 8
4099  - http://casereports.bmj.com/content/15/8/e249758.short
4100  - http://casereports.bmj.com/content/15/8/e249758.full
SO  - BMJ Case Reports2022 Aug 01; 15
AB  - Hemangioblastomatosis represents an unusual and malignant leptomeningeal dissemination of hemangioblastoma (HB). It has been reported in patients with sporadic HB or von Hippel-Lindau (VHL) disease. Hemangioblastomatosis had been reported following resection of a primary HB lesion in all cases except one patient with a sporadic HB. We present a patient with VHL with several HBs at the brainstem, cerebellum, pituitary stalk and retina who developed spinal hemangioblastomatosis without previous craniospinal surgery. A whole spine MRI showed the spinal dissemination from the primary lesions. The patient received craniospinal radiotherapy due to the extensive spinal leptomeningeal dissemination and multiple HBs. MRI performed 12 months after the radiotherapy showed stability of the lesions.