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다혈증을 동반한 소뇌 혈관 아세포종 Cerebellar Hemangioblastoma Associated with Polycythemia

적십자병원지 1979년 6권 1호 p.49 ~ 54
李承洙, 文明善, 孫孝正,
소속 상세정보
李承洙 (  ) 
서울赤十字病院 神經外科

文明善 (  ) 
서울赤十字病院 神經外科
孫孝正 (  ) 
서울赤十字病院 神經外科

Abstract


We have experienced a case of cerebellar hemangioblastoma associated with polycythemia in 44-year old male adult who has suffered from headache, chocked disc and visual disturbance for about` 1ytar and 4 months. A marked polycythemia was found but retinal angiomcyst oh the pancreas and kidney and, then familial incidence were not detected. The signs of increased intracranial pressure was marked, accompanying the decreased visual. acuity. Liver and spleen were not palpable. On bilateral carotid angiogram, it revealed a severe hydrocephalus, and on Con-ray ventriculogram, obstruction of 4th ventricle by huge mass in the posterior fossa. The right vertebral angiography: revealed a midline hen egg sized tumor mass which was highly vasnular and was supplied mainly by PICA, SCA and PCA branches. Brain C-T scan showed the vascular mass in the midline of posterior fossa by enhancement.
We operated the cerebellar tumor which was solid. The uncontrollable bleeding was encountered. We performed, the biopsy which revealed a hmangioblastoma. Inspite of the V-A shunt, the patient expired suddenly on 5th post-operative day.

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