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Journal of Korean Neurosurgical Society 1981;10(2): 747-754.
A Case of Posterior Medullary Hemangioblastoma.
Keun Bae Rha, Chul Koo Jung, Jong Shik Kim, Dal Soo Kim
Department of Neurosurgery, Capital Armed Forces General Hospital, Seoul, Korea.
The source of hemangioblastoma in the hindbrain was considered to be avascular analoge in or adjacent to the posterior medullary velum. In hemangioblastoma of the brain stem, the area postrema has been known as the most common site. Operative and autopsy findings were confirmed by Okawara that the solid lesions are more likely to involve the brain stem. The solid hemangioblastoma is much more difficult to treat and the mortality is higher than the cystic type due to involvement of the brain stem, massive postoperative edema, and intraoperative or postoperative bleeding from the tumor mass. Operative and histopathologic findings of our case are confirmed with solid hemangioblastoma which involves the posterior medullary oblongata and was regarded as arising at the postrema.
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