Case report demonstrates successful total resection of giant cerebellopontine angle hemangioblastomas in a patient, highlighting surgical feasibility for preserving cranial nerve function.
Multiple giant cystic-solid hemangioblastomas arising in the cerebellopontine angle (CPA) and extending to both cerebellar hemispheres are exceedingly uncommon. We report the case of a 54-year-old female patient who was admitted with to the hospital with a two-month history of headache and hearing loss. On physical examination, the patient was alert, and Romberg’s sign was positive. Magnetic resonance imaging (MRI) revealed the presence of multiple irregular cystic-solid abnormal signal shadows in the right CPA and bilateral cerebellar hemispheres. Total tumor resection was performed via a midline suboccipital approach, resulting in marked relief of the patient’s headache symptoms and preservation of cranial nerve function. The diagnosis of hemangioblastoma was confirmed by postoperative immunohistochemical staining.
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Song et al. (2026) studied this question.
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