| CASE REPORT |
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| Year : 2022 | Volume
: 13
| Issue : 2 | Page : 192-197 |
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Spinal cervical extradural hemangioblastoma
Giuseppe Mariniello1, Sergio Corvino1, Giuseppe Corazzelli1, Raduan Ahmed Franca2, Marialaura Del Basso De Caro2, Francesco Maiuri1
1 Department of Neurosciences and Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, Naples, Italy
2 Department of Advanced Biomedical Sciences, Section of Pathology, University “Federico II” of Naples, Naples, Italy
Correspondence Address:
Sergio Corvino
Department of Neurosciences and Reproductive and Odontostomatological Science, Neurosurgical Clinic, “Federico II” University School of Medicine, 5, Via S. Pansini, Naples 80131
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jcvjs.jcvjs_146_21
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Spinal cervical extradural and intra-extradural hemangioblastomas are exceptional, with only nine reported cases. This study reviews the diagnostic and surgical problems of this rare entity. Two female patients, aged 80 years and 25 years, respectively, one with Von Hippel–Lindau disease (VHLD), experienced brachial pain and weakness. On magnetic resonance imaging, a dumbbell intra-extraspinal hemangioblastoma was evidenced. The surgical resection through posterior laminectomy resulted in clinical remission of brachial pain and weakness. The magnetic resonance aspect of a dumbbell lesion suggests a neurogenic tumor; the correct preoperative diagnosis is possible in individuals with VHLD. The surgical problems include high tumor vascularity, vertebral artery control, and nerve root preservation. However, the surgical excision results in clinical remission.
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