Postgrad Med J 2001;77:471
( July )
Self assessment questions
A complicated case of von Hippel-Lindau disease
G Thomas, R Hillson
Department of
Diabetes and Endocrinology, Hillingdon Hospital, Uxbridge, Middlesex,
UK
Correspondence to: Dr
G Thomas, Flat 1, 134 Shirland Road, Maida Vale, London W9 2BT, UK
gthomas_uk@hotmail.com
Submitted 2 September 1999;
Accepted 4 April 2000
| The first 150 words of the full text of this article appear below. |
A 17 year old female shop assistant
presented with a three week history of generalised headache, associated
with nausea, vomiting, and vertigo. She had no past
medical history, and was taking no regular medication. Her mother was
currently receiving radiotherapy for anaplastic carcinoma of the
thyroid gland. On examination she had an ataxic gait, bilateral
papilloedema, and horizontal nystagmus to right lateral gaze. Left
sided dysdiadokinesis and hyper-reflexia were demonstrated. Power and
sensation were preserved. Computed tomography of the brain revealed a
cystic lesion within the left cerebellum. Subsequent magnetic resonance
imaging (MRI) revealed a second, non-cystic lesion within the region of
the right vermis (fig 1). Both images were consistent with cerebellar haemangioblastomata. A posterior fossa craniotomy was performed, with
successful excision of both tumours. She made an uneventful recovery,
with complete resolution of all symptoms, and was subsequently discharged.
| Figure Removed (Available Only in the Full Text) |
During a follow up outpatient appointment six months later, . . . [Full text of this article]
