Demographics:
41 years old, Male
Indication:
Prior posterior fossa tumor resection
Findings
- Prior suboccipital craniotomy
- Multiple subcentimeter intra-axial enhancing lesions in the bilateral cerebellar hemispheres and superior aspect of the vermis
- These lesions mostly solidly enhance, though there is a cystic lesion with an enhancing mural nodule in the lateral aspect of the right cerebellar hemisphere
- The solid enhancing components of these lesions demonstrate facilitated diffusion in relation to brain parenchyma
- Many lesions demonstrate corresponding susceptibility artifact and surrounding edema
- No substantial intracranial mass effect or evidence of hydrocephalus
Diagnosis
Hemangioblastomas in the setting of von Hippel-Lindau
Differential Diagnosis
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Pearls
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