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Cerebellar hemangioblastoma associated with diffuse neonatal hemangiomatosis in an infant

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Abstract

Introduction

Hemangioblastomas (HBLs) comprise approximately 2 % of all primary central nervous system (CNS) tumors. Although histological features of this rare tumor are generally benign, its outcome is often unfavorable due to high risk of recurrence and multifocal localization. HBLs can be detected as sporadic or associated with Von Hippel–Lindau disease. Diffuse neonatal hemangiomatosis (DNH) presents with multiple, progressive, rapidly growing cutaneous hemangiomas associated with widespread visceral hemangiomas in the liver, lungs, gastrointestinal tract, brain, and meninges. DNH with predominant CNS involvement is rarely reported. Herein, we present a neonatal case of cerebellar HBL associated with DNH.

Case report

A 5-day-old male baby was referred with complaints of multiple cutaneous lesions. Purple papules were noted on the trunk, extremities, and the head. Thoracic magnetic resonance imaging demonstrated multiple hyperintense lesions on the chest wall and apex of the right lung. On MRI, a 3 × 2-cm mass lesion in the right cerebellar hemisphere was detected. Total resection of the mass and ventriculoperitoneal shunting was performed. Histopathologic examination confirmed the diagnosis of HBL. Steroid therapy was administered for disseminated hemangiomatosis, and the lesions showed regression; the patient showed good clinical recovery. The parents refused further treatment, and he was out of our control when he was 9 months old.

Conclusion

According to our knowledge, the presented newborn is the second case of cerebellar HBL associated with diffuse skin and visceral hemangiomas in the English medical literature. Clinicians must be vigilant about the predictive value of visceral and/or cutaneous hemangioma for an associated intracranial HBL.

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Conflict of interest

The authors do not report any conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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Authors and Affiliations

  1. Division of Pediatric Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, Erciyes University, 38039, Talas, Kayseri, Turkey

    Turkan Patiroglu, Ekrem Unal, Musa Karakukcu & Mehmet Akif Ozdemir

  2. Neonatology Unit, Kecioren Education and Research Hospital, Ankara, Turkey

    Dilek Sarici

  3. Division of Pediatric Radiology, Department of Radiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey

    Ali Yikilmaz

  4. Department of Neurosurgery, Faculty of Medicine, Erciyes University, Kayseri, Turkey

    Bulent Tucer

  5. Department of Pathology, Faculty of Medicine, Erciyes University, Kayseri, Turkey

    Ozlem Canoz

  6. Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Akdeniz University, Kayseri, Turkey

    Mustafa Akcakus

Authors
  1. Turkan Patiroglu
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  2. Dilek Sarici
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  3. Ekrem Unal
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  4. Ali Yikilmaz
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  5. Bulent Tucer
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  6. Musa Karakukcu
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  7. Mehmet Akif Ozdemir
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  8. Ozlem Canoz
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  9. Mustafa Akcakus
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Corresponding author

Correspondence to Ekrem Unal.

Additional information

This case report was presented as a poster presentation at 14th International Symposium on Pediatric Neuro-Oncology, 20–23 June 2010, Vienna, Austria.

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Patiroglu, T., Sarici, D., Unal, E. et al. Cerebellar hemangioblastoma associated with diffuse neonatal hemangiomatosis in an infant. Childs Nerv Syst 28, 1801–1805 (2012). https://doi.org/10.1007/s00381-012-1858-x

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  • DOI: https://doi.org/10.1007/s00381-012-1858-x

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