Neuroradiology case approach-Haemangioblastoma

Young male with headache

Differentials include

Vein of galen aneurysm-

• normally presents early
• straight sinus will be full and dilated
• multiple flow voids with thrombosis likely
• Sup sag sinus will also be full
• DW could show penumbra of restriction

Pilocytic astrocytoma----------possible

• unusual location
• Flow voids unusual as it is low grade tumour
• perilesional oedema possible
  

Epidermoid---------------------possible

• No restriction on diffusion
• normally does not enhance
  

Pineal gland tumour-------possible

• usually midline
• heterogenous enhancement
• goes to flooor of third ventricle
  

What we suggested is haemangioblastoma

• unusual location
• nodule is typical
• Bleed not present
• no oedema usually

Case by Dr MGK Murthy

Teleradiology Providers