Optic nerve haemangioblastoma in association with von Hippel-Lindau syndrome: case report and literature review

Optic nerve haemangioblastoma (ONH) is an uncommon, benign, non-meningothelial, mesenchymal tumour of unclear origin. Most are associated with von Hippel-Lindau (VHL) syndrome (71%), and only 40 cases have been reported in the medical literature. Most of the patients develop non-specific visual symp...

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Published inBJR case reports Vol. 10; no. 2; p. uaae007
Main Authors Vásquez Montoya, Juan David, Velez, Jorge Mario, Naranjo Vanegas, Melisa, Montes Jimenez, Natalia
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.03.2024
Subjects
Case Report
von Hippel-Lindau syndrome
case reports
haemangioblastoma
optic nerve
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Summary:Optic nerve haemangioblastoma (ONH) is an uncommon, benign, non-meningothelial, mesenchymal tumour of unclear origin. Most are associated with von Hippel-Lindau (VHL) syndrome (71%), and only 40 cases have been reported in the medical literature. Most of the patients develop non-specific visual symptoms, including decreased visual acuity and/or loss of visual fields, exophthalmos, trigeminal neuralgia, and retroorbital pain. Optic nerve sheath meningioma and optic nerve glioma are among the differential diagnoses that may be considered in this location. Contrast-enhanced MRI is considered an optimal diagnostic tool, which helps to determine some characteristics that guide towards an adequate diagnosis and treatment. We present a 42-year-old patient with a history of VHL syndrome in whom a cerebellar lesion and optic nerve lesions were evidenced, and we did a review of the literature and case analysis.
ISSN:2055-7159
2055-7159
DOI:10.1093/bjrcr/uaae007