Anesthetic Management for Resection of a Cerebellar Hemangioblastoma Leading to Brainstem Compression in a Patient With Von Hippel-Lindau Disease

Christiano Dos Santos E Santos; Guilherme Dos S E Santos; Cristiane Araujo Tuma Santos

doi:10.7759/cureus.20608

Anesthetic Management for Resection of a Cerebellar Hemangioblastoma Leading to Brainstem Compression in a Patient With Von Hippel-Lindau Disease

Cureus. 2021 Dec 22;13(12):e20608. doi: 10.7759/cureus.20608. eCollection 2021 Dec.

Authors

Christiano Dos Santos E Santos¹, Guilherme Dos S E Santos², Cristiane Araujo Tuma Santos³

Affiliations

¹ Anesthesiology, University of Mississippi Medical Center, Jackson, USA.
² Anesthesiology, Miguel Couto Hospital, Rio de Janeiro, BRA.
³ Radiology, University of Mississippi Medical Center, Jackson, USA.

Abstract

Von Hippel-Lindau (VHL) disease is a complex genetic syndrome characterized by multisystemic vascular neoplastic disorder. The affected population tends to develop tumors mainly involving the central nervous system, adrenal glands, pancreas, and kidneys. We describe anesthetic management for the resection of a cerebellar mass compressing the brainstem in a recently diagnosed 25-year-old female patient with a history of von Hippel-Lindau (VHL) syndrome. An uneventful occipital craniectomy for cerebellar tumor resection was performed under total intravenous anesthesia, without complications. The patient was discharged home on postoperative day five. This case depicts a situation in which a brainstem compressing lesion needs to be addressed urgently, and the pharmacological neuroprotective technique utilized for this procedure.

Keywords: anesthetic management; brainstem compression; cerebellar hemangioblastoma; neuromonitoring; von hippel-lindau syndrome.

Publication types

Case Reports