Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review
Purpose Our case report presents the first case of suprasellar hemangioblastoma diagnosed preoperatively with dynamic computed tomography angiography (four-dimensional [4D] CTA) in a patient without Von Hippel-Lindau (VHL) disease. We illustrate the imaging characteristics of these exceedingly rare...
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Format: | Article |
Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-04-01
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Series: | Indian Journal of Radiology and Imaging |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1734335 |
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author | Yi Tong Denis Sirhan Maria Cortes |
author_facet | Yi Tong Denis Sirhan Maria Cortes |
author_sort | Yi Tong |
collection | DOAJ |
description | Purpose Our case report presents the first case of suprasellar hemangioblastoma diagnosed preoperatively with dynamic computed tomography angiography (four-dimensional [4D] CTA) in a patient without Von Hippel-Lindau (VHL) disease. We illustrate the imaging characteristics of these exceedingly rare tumors and discuss the role of 4D CTA in confirming this diagnosis and guiding surgical management. Finally, we present a literature review of imaging findings, differential diagnosis, management, and prognosis.
Case A 39-year-old woman known for diabetes mellitus type II and dyslipidemia presented with headache, bitemporal hemianopsia, and mild hyperprolactinemia. Initial diagnosis of suprasellar meningioma separate from pituitary gland was revised to definitive diagnosis of suprasellar hemangioblastoma after 4D CTA.
Conclusion Suprasellar hemangioblastomas are extremely rare, often associated to VHL disease. They present as enhancing as suprasellar mass with prominent intra- and peritumoral vascular flow-voids on magnetic resonance imaging. 4D CTA confirms their vascular nature, demonstrates characteristic rapid shunting with feeding arteries, and enlarged draining veins, and is important in guiding surgical management. |
first_indexed | 2024-12-19T22:51:45Z |
format | Article |
id | doaj.art-e90c9604da224d10913162c08333a3f8 |
institution | Directory Open Access Journal |
issn | 0971-3026 1998-3808 |
language | English |
last_indexed | 2024-12-19T22:51:45Z |
publishDate | 2021-04-01 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | Article |
series | Indian Journal of Radiology and Imaging |
spelling | doaj.art-e90c9604da224d10913162c08333a3f82022-12-21T20:02:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082021-04-01310249950910.1055/s-0041-1734335Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature ReviewYi Tong0Denis Sirhan1Maria Cortes2Department of Radiology, McGill University Health Center, Montreal, Quebec, CanadaDepartment of Neurosurgery, Montreal Neurological Hospital and Institute, Montreal, Quebec, CanadaDepartment of Radiology, McGill University Health Center, Montreal, Quebec, CanadaPurpose Our case report presents the first case of suprasellar hemangioblastoma diagnosed preoperatively with dynamic computed tomography angiography (four-dimensional [4D] CTA) in a patient without Von Hippel-Lindau (VHL) disease. We illustrate the imaging characteristics of these exceedingly rare tumors and discuss the role of 4D CTA in confirming this diagnosis and guiding surgical management. Finally, we present a literature review of imaging findings, differential diagnosis, management, and prognosis. Case A 39-year-old woman known for diabetes mellitus type II and dyslipidemia presented with headache, bitemporal hemianopsia, and mild hyperprolactinemia. Initial diagnosis of suprasellar meningioma separate from pituitary gland was revised to definitive diagnosis of suprasellar hemangioblastoma after 4D CTA. Conclusion Suprasellar hemangioblastomas are extremely rare, often associated to VHL disease. They present as enhancing as suprasellar mass with prominent intra- and peritumoral vascular flow-voids on magnetic resonance imaging. 4D CTA confirms their vascular nature, demonstrates characteristic rapid shunting with feeding arteries, and enlarged draining veins, and is important in guiding surgical management.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-17343354d ct angiographydynamic ct angiographyhemangioblastomasella turcica |
spellingShingle | Yi Tong Denis Sirhan Maria Cortes Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review Indian Journal of Radiology and Imaging 4d ct angiography dynamic ct angiography hemangioblastoma sella turcica |
title | Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review |
title_full | Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review |
title_fullStr | Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review |
title_full_unstemmed | Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review |
title_short | Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review |
title_sort | preoperative diagnosis of suprasellar hemangioblastoma with four dimensional computed tomography angiography case report and literature review |
topic | 4d ct angiography dynamic ct angiography hemangioblastoma sella turcica |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1734335 |
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