Dr. Milton A. Weiner: A 22-year-old woman entered the hospital in 1964 with complaints of morning headaches, vomiting, and dizziness of several months' duration. There was a strong family history of Lindau-von Hippel disease involving numerous members of the family, including the patient's mother. At 17 years of age, she was found to have a hemangioma in the right eye which was treated by coagulation.
Physical examination at the time of admission to the hospital in 1964 revealed papilledema, nystagmus, and some difficulty in coordination of her left hand. A cranial study and a left vertebral angiogram were obtained.
Dr. Laurence L. Robbins: Dr. Hanelin, what is your opinion of these studies (Fig 1)?Dr. Joseph Hanelin: I would say this is a fairly typical hemangioblastoma. There is an area in the comparatively less-vascularized left cerebellar hemisphere which contains a highly vascularized nodule. This might be a cystic hemangioblastoma