ABSTRACT
The authors present a rare case of recurrence and dissemination following total removal of solitary cerebellar hemangioblastoma. A 48-year-old male patient who had been diagnosed as having cerebellar hemangioblastoma was admitted to our hospital. After two consecutives successful removal of the tumor, there were several years in which he was free from symptoms, but recurrence and dissemination was found on both cerebellar hemispheres and brain stem. Using previous reports, we will demonstrate the clinical and pathological factors which are responsible for recurrence or dissemination of cerebellar hemangioblastoma. So we suggest that in cases the possibility of recurrence and dissemination are associated with the preidictors, it may be necessary to have follow up examinations routinely for a prolonged period.