Surgical management of isolated hemangioblastomas of the spinal cord

Chanland Roonprapunt, V. Michelle Silvera, Avi Setton, Diana Freed, Fred J. Epstein, George Jallo

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: Intramedullary hemangioblastomas are rare tumors, accounting for just 3% of all intraspinal neoplasms. The purpose of this study is to define the occurrence of isolated intramedullary hemangioblastomas and to analyze the role of the radiological studies and surgery for these lesions. METHODS: The charts of 19 consecutive patients operated on for isolated spinal intramedullary hemangioblastoma were reviewed. Preoperatively, all patients underwent magnetic resonance imaging and nine underwent spinal angiography. For all patients, the surgical approach was via posterior laminectomy. RESULTS: Our study sample comprised 6 women and 13 men, with an average age of 31.5 years (range, 16-75 yr). The mean prodrome was 20.8 months. Pain was the most common complaint. In all cases, the neoplasms were associated with a syrinx or edema. Gross total resection was achieved in all patients. At last follow-up examination (mean, 50.1 mo), 13 patients (68%) had improved and 6 patients (32%) had stabilized as compared with their preoperative clinical status. CONCLUSION: Isolated intramedullary hemangioblastomas typically have an indolent clinical course. These tumors have characteristic imaging properties on magnetic resonance imaging and angiography. Surgical removal of these lesions results in excellent long-term functional outcome.

Original languageEnglish (US)
Pages (from-to)321-328
Number of pages8
JournalNeurosurgery
Volume49
Issue number2
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Hemangioblastoma
Spinal Cord
Neoplasms
Magnetic Resonance Imaging
Laminectomy
Magnetic Resonance Angiography
Syringes
Edema
Angiography
Pain

Keywords

  • Hemangioblastoma
  • Intramedullary spinal tumor
  • Spine

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Roonprapunt, C., Silvera, V. M., Setton, A., Freed, D., Epstein, F. J., & Jallo, G. (2001). Surgical management of isolated hemangioblastomas of the spinal cord. Neurosurgery, 49(2), 321-328. https://doi.org/10.1097/00006123-200108000-00012

Surgical management of isolated hemangioblastomas of the spinal cord. / Roonprapunt, Chanland; Silvera, V. Michelle; Setton, Avi; Freed, Diana; Epstein, Fred J.; Jallo, George.

In: Neurosurgery, Vol. 49, No. 2, 2001, p. 321-328.

Research output: Contribution to journalArticle

Roonprapunt, C, Silvera, VM, Setton, A, Freed, D, Epstein, FJ & Jallo, G 2001, 'Surgical management of isolated hemangioblastomas of the spinal cord', Neurosurgery, vol. 49, no. 2, pp. 321-328. https://doi.org/10.1097/00006123-200108000-00012
Roonprapunt, Chanland ; Silvera, V. Michelle ; Setton, Avi ; Freed, Diana ; Epstein, Fred J. ; Jallo, George. / Surgical management of isolated hemangioblastomas of the spinal cord. In: Neurosurgery. 2001 ; Vol. 49, No. 2. pp. 321-328.
@article{5151bbc0f6e145aeb5e46ce607167c7e,
title = "Surgical management of isolated hemangioblastomas of the spinal cord",
abstract = "OBJECTIVE: Intramedullary hemangioblastomas are rare tumors, accounting for just 3{\%} of all intraspinal neoplasms. The purpose of this study is to define the occurrence of isolated intramedullary hemangioblastomas and to analyze the role of the radiological studies and surgery for these lesions. METHODS: The charts of 19 consecutive patients operated on for isolated spinal intramedullary hemangioblastoma were reviewed. Preoperatively, all patients underwent magnetic resonance imaging and nine underwent spinal angiography. For all patients, the surgical approach was via posterior laminectomy. RESULTS: Our study sample comprised 6 women and 13 men, with an average age of 31.5 years (range, 16-75 yr). The mean prodrome was 20.8 months. Pain was the most common complaint. In all cases, the neoplasms were associated with a syrinx or edema. Gross total resection was achieved in all patients. At last follow-up examination (mean, 50.1 mo), 13 patients (68{\%}) had improved and 6 patients (32{\%}) had stabilized as compared with their preoperative clinical status. CONCLUSION: Isolated intramedullary hemangioblastomas typically have an indolent clinical course. These tumors have characteristic imaging properties on magnetic resonance imaging and angiography. Surgical removal of these lesions results in excellent long-term functional outcome.",
keywords = "Hemangioblastoma, Intramedullary spinal tumor, Spine",
author = "Chanland Roonprapunt and Silvera, {V. Michelle} and Avi Setton and Diana Freed and Epstein, {Fred J.} and George Jallo",
year = "2001",
doi = "10.1097/00006123-200108000-00012",
language = "English (US)",
volume = "49",
pages = "321--328",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Surgical management of isolated hemangioblastomas of the spinal cord

AU - Roonprapunt, Chanland

AU - Silvera, V. Michelle

AU - Setton, Avi

AU - Freed, Diana

AU - Epstein, Fred J.

AU - Jallo, George

PY - 2001

Y1 - 2001

N2 - OBJECTIVE: Intramedullary hemangioblastomas are rare tumors, accounting for just 3% of all intraspinal neoplasms. The purpose of this study is to define the occurrence of isolated intramedullary hemangioblastomas and to analyze the role of the radiological studies and surgery for these lesions. METHODS: The charts of 19 consecutive patients operated on for isolated spinal intramedullary hemangioblastoma were reviewed. Preoperatively, all patients underwent magnetic resonance imaging and nine underwent spinal angiography. For all patients, the surgical approach was via posterior laminectomy. RESULTS: Our study sample comprised 6 women and 13 men, with an average age of 31.5 years (range, 16-75 yr). The mean prodrome was 20.8 months. Pain was the most common complaint. In all cases, the neoplasms were associated with a syrinx or edema. Gross total resection was achieved in all patients. At last follow-up examination (mean, 50.1 mo), 13 patients (68%) had improved and 6 patients (32%) had stabilized as compared with their preoperative clinical status. CONCLUSION: Isolated intramedullary hemangioblastomas typically have an indolent clinical course. These tumors have characteristic imaging properties on magnetic resonance imaging and angiography. Surgical removal of these lesions results in excellent long-term functional outcome.

AB - OBJECTIVE: Intramedullary hemangioblastomas are rare tumors, accounting for just 3% of all intraspinal neoplasms. The purpose of this study is to define the occurrence of isolated intramedullary hemangioblastomas and to analyze the role of the radiological studies and surgery for these lesions. METHODS: The charts of 19 consecutive patients operated on for isolated spinal intramedullary hemangioblastoma were reviewed. Preoperatively, all patients underwent magnetic resonance imaging and nine underwent spinal angiography. For all patients, the surgical approach was via posterior laminectomy. RESULTS: Our study sample comprised 6 women and 13 men, with an average age of 31.5 years (range, 16-75 yr). The mean prodrome was 20.8 months. Pain was the most common complaint. In all cases, the neoplasms were associated with a syrinx or edema. Gross total resection was achieved in all patients. At last follow-up examination (mean, 50.1 mo), 13 patients (68%) had improved and 6 patients (32%) had stabilized as compared with their preoperative clinical status. CONCLUSION: Isolated intramedullary hemangioblastomas typically have an indolent clinical course. These tumors have characteristic imaging properties on magnetic resonance imaging and angiography. Surgical removal of these lesions results in excellent long-term functional outcome.

KW - Hemangioblastoma

KW - Intramedullary spinal tumor

KW - Spine

UR - http://www.scopus.com/inward/record.url?scp=17844394415&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=17844394415&partnerID=8YFLogxK

U2 - 10.1097/00006123-200108000-00012

DO - 10.1097/00006123-200108000-00012

M3 - Article

VL - 49

SP - 321

EP - 328

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 2

ER -