Case Report: PDF OnlySpinal Cord Hemangioblastoma with Extensive SyringomyeliaWu, Te-Changa; Guo, Wan-Youa; Lirng, Jiing-Fenga, b, *; Wong, Tai-Tongc; Chang, Feng-Chia; Luo, Chao-Baoa; Teng, Michael Mu-Huoa, b; Chang, Cheng-YenaAuthor Information aDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. bNational Yang-Ming University School of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. cThe Neurologic Institute, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. *Correspondence to: Dr. Jiing-Feng Lirng, Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C. E-mail: [email protected] Received: August 13, 2003 • Accepted: June 2, 2004 Journal of the Chinese Medical Association: January 2005 - Volume 68 - Issue 1 - p 40-44 doi: 10.1016/S1726-4901(09)70131-5 Metrics Abstract We present the case of a 20-year-old male with intermittent right upper extremity numbness for 3 months. His pain perception and temperature sensation were severely disturbed. An incidental magnetic resonance imaging (MRI) finding of one small intramedullary enhancing nodule at spinal cord level T10-11 with long-segment syrinx formation suggested the diagnosis of spinal hemangioblastoma with syringomyelia. Surgical removal of the tumor and decompression of the spinal cord with opening of the syrinx were performed smoothly, and the pathology confirmed the diagnosis of spinal hemangioblastoma. Reviewing the literature, MRI is the examination of choice for spinal hemangioblastomas, and is helpful in preoperative planning and the differential diagnosis of spinal cord neoplasms and vascular lesions. © 2005 by Lippincott Williams & Wilkins, Inc.