Hemangioblastoma

Hemangioblastoma

Updated: 9/30/2025
© Jun Wang, MD, PhD

General features
  • Benign
  • Intracranial tumor
  • Peak age 20-50 years 
  • Associated with von Hippel-Lindau syndrome
  • Sporadic cases with somatic VHL mutation
Clinical presentations
  • Most common location: cerebellum
  • Can be seen in spinal cord, meninges
  • Symptoms associated with location due to mass effect
  • Multiple tumors in Von Hippel-Lindau syndrome patients
Pathogenesis
  • Loss of VHL promotes increased production of vascular endothelial growth factor and erythropoietin
Radiological features
  • MRI preferred
  • Usually well demarcated mass 
  • Enhancing mural nodule within a cyst
  • Might be solid 
Morphological features
Genetic abnormalities
  • VHL mutation
Management
  • Surgery
  • Radiation
  • Antiangiogenic therapy

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