Abstract
We present a successfully treated case of a solid and huge hemangioblastoma of the medulla oblongata. A 33-year-old male with severe headaches was admitted to our hospital. Preoperative MRI and cerebral angiogram demonstrated a solid well-circumscribed highly vascular tumor at the dorsal medulla oblongata. Presurgical embolization and total removal of the tumor were performed. Postoperatively, the patient developed hemiparesis and lower cranial nerve palsy. But his symptoms improved gradually and he returned to his former ordinary life 6 months later. A huge brainstem hemangioblastoma is rare and, its surgical treatment is frequently associated with high risk. We report the surgical strategy of this unusual case and practical perioperative management.
