Delayed diagnosis of cerebellar hemangioblastoma after intracerebellar hemorrhage.
BACKGROUND
Cerebellar hemorrhage caused by cerebellar hemangioblastoma is not a frequent case. We report a case of solid, cerebellar hemangioblastoma, diagnosed 4 years after cerebellar hemorrhage.


METHODS
A 69-year-old man presented with dizziness and gait disturbance. He had a 4-year history of evacuation of cerebellar hemorrhage. Gadolinium-enhanced MRI revealed a well-enhancing mass in the left cerebellar hemisphere, and vertebral angiography revealed hypervascularity. Radiotherapy was given to the tumor bed. He remained stable for more than a year after radiation.


CONCLUSIONS
In cases of spontaneous cerebellar hemorrhage, particularly in the patient without hypertension or other underlying diseases related to bleeding from tumor, cerebellar hemangioblastoma should be suspected as a rare cause of hemorrhage, and computed tomography and/or MRI with contrast administration is mandatory for differential diagnosis.
Lee
Jong-Young
JY
Department of Neurosurgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 134-701, South Korea.
Cho
Byung-Moon
BM
Oh
Sae-Moon
SM
Park
Se-Hyuck
SH
D000368:Aged; D002528:Cerebellar Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D018325:Hemangioblastoma / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D020300:Intracranial Hemorrhages / Q000209:etiology*; D008297:Male; D013997:Time Factors