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Hydrocephalus: a rare initial manifestation of sporadic intramedullary hemangioblastoma : Intramedullary hemangioblastoma presenting as hydrocephalus.
Childs Nerv Syst. 2017 Aug; 33(8):1399-1403.CN

Abstract

BACKGROUND

Intramedullary hemangioblastomas are rare benign vascular tumors, infrequent in pediatric patients. Clinical symptoms vary according to the age of presentation, tumor size, location, and concomitant syringomyelia. This is the second reported case of hemangioblastoma presenting with acute hydrocephalus.

CASE PRESENTATION

A 3-month-old infant with acute hydrocephalus was asymptomatic after a ventriculoperitoneal shunt was placed. She returned 3 months later with irritability, acute paraplegia, and respiratory distress. Magnetic resonance imaging (MRI) showed an intramedullary T8-T9 tumor with syringomyelia. She underwent surgical resection with good results during the 6-month follow-up.

CONCLUSION

Intramedullary tumors may present as hydrocephalus and other nonspecific symptoms, with invariably delayed diagnosis in children, but must be considered in suspicious cases.

Authors+Show Affiliations

Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil. babyamorais@gmail.com.Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil.Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil.Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil.Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil.Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil.Hospital das Clínicas, School of Medicine, University of São Paulo, Street Eneas de Carvalho, 155, Pinheiros, São Paulo, Brazil.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28444460

Citation

Morais, Barbara Albuquerque, et al. "Hydrocephalus: a Rare Initial Manifestation of Sporadic Intramedullary Hemangioblastoma : Intramedullary Hemangioblastoma Presenting as Hydrocephalus." Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, vol. 33, no. 8, 2017, pp. 1399-1403.
Morais BA, Cardeal DD, Ribeiro E Ribeiro R, et al. Hydrocephalus: a rare initial manifestation of sporadic intramedullary hemangioblastoma : Intramedullary hemangioblastoma presenting as hydrocephalus. Childs Nerv Syst. 2017;33(8):1399-1403.
Morais, B. A., Cardeal, D. D., Ribeiro E Ribeiro, R., Frassetto, F. P., Andrade, F. G., Matushita, H., & Teixeira, M. J. (2017). Hydrocephalus: a rare initial manifestation of sporadic intramedullary hemangioblastoma : Intramedullary hemangioblastoma presenting as hydrocephalus. Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, 33(8), 1399-1403. https://doi.org/10.1007/s00381-017-3415-0
Morais BA, et al. Hydrocephalus: a Rare Initial Manifestation of Sporadic Intramedullary Hemangioblastoma : Intramedullary Hemangioblastoma Presenting as Hydrocephalus. Childs Nerv Syst. 2017;33(8):1399-1403. PubMed PMID: 28444460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hydrocephalus: a rare initial manifestation of sporadic intramedullary hemangioblastoma : Intramedullary hemangioblastoma presenting as hydrocephalus. AU - Morais,Barbara Albuquerque, AU - Cardeal,Daniel Dante, AU - Ribeiro E Ribeiro,Renan, AU - Frassetto,Fernando Pereira, AU - Andrade,Fernanda Goncalves, AU - Matushita,Hamilton, AU - Teixeira,Manoel Jacobsen, Y1 - 2017/04/25/ PY - 2017/02/19/received PY - 2017/04/13/accepted PY - 2017/4/27/pubmed PY - 2018/4/18/medline PY - 2017/4/27/entrez KW - Children KW - Hemangioblastoma KW - Hydrocephalus KW - Spinal cord tumor KW - Syringomyelia SP - 1399 EP - 1403 JF - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery JO - Childs Nerv Syst VL - 33 IS - 8 N2 - BACKGROUND: Intramedullary hemangioblastomas are rare benign vascular tumors, infrequent in pediatric patients. Clinical symptoms vary according to the age of presentation, tumor size, location, and concomitant syringomyelia. This is the second reported case of hemangioblastoma presenting with acute hydrocephalus. CASE PRESENTATION: A 3-month-old infant with acute hydrocephalus was asymptomatic after a ventriculoperitoneal shunt was placed. She returned 3 months later with irritability, acute paraplegia, and respiratory distress. Magnetic resonance imaging (MRI) showed an intramedullary T8-T9 tumor with syringomyelia. She underwent surgical resection with good results during the 6-month follow-up. CONCLUSION: Intramedullary tumors may present as hydrocephalus and other nonspecific symptoms, with invariably delayed diagnosis in children, but must be considered in suspicious cases. SN - 1433-0350 UR - https://www.unboundmedicine.com/medline/citation/28444460/Hydrocephalus:_a_rare_initial_manifestation_of_sporadic_intramedullary_hemangioblastoma_:_Intramedullary_hemangioblastoma_presenting_as_hydrocephalus_ L2 - https://doi.org/10.1007/s00381-017-3415-0 DB - PRIME DP - Unbound Medicine ER -