Pontine Hemangioblastoma Presenting with Pontine Hemorrhage: Case Report

ABSTRACT

The authors report the case of a pontine hemangioblastoma with spontaneous pontine hemorrhage. The 19-year-old man presented with sudden right hemiparesis. The patient had showed recurrent episodes of neurological deterioration. Neurological examination revealed severe dysarthria, right hemiparesis and cranial nerve dysfunction(cranial nerve V-XII). Computerized tomography scans and magnetic resonance images showed recurrent hemorrhage in lower pons. Cerebral angiograms showed no vascular staining. Hematoma evaculation and wall biopsy were done. Histologic diagnosis was hemangioblastoma with hemorrhage. There has been no previous report of a pontine hemangioblastoma with hemorrhage. We also reviewed pertinent literature regarding a hemangioblastoma presenting with hemorrhage.