Suprasellar paraganglioma in a clinical setting of von Hippel-Lindau syndrome.

Journal: BMJ Case Reports
Treatment Used: Surgery, Radiotherapy, and Green Laser Photocoagulation
Number of Patients: 1
Published:
MediFind Summary

Summary: This case report describes a man in his 20s with a suprasellar paraganglioma and von Hippel-Lindau syndrome treated with surgery, radiotherapy, and green laser photocoagulation.

Conclusion: A man in his 20s with a suprasellar paraganglioma and von Hippel-Lindau syndrome treated with surgery, radiotherapy, and green laser photocoagulation improved.

Abstract

A man in his 20s presented to the neurosurgery department 2 years ago with headache and blurred vision. He was diagnosed to have a suprasellar mass on neuroimaging. Best-corrected visual acuity in the right eye was 6/36 and that in the left eye was 6/60. Automated visual fields showed a temporal hemianopia in the right eye and an advanced field defect in the left eye. His hormonal profile was normal, and he underwent partial excision of suprasellar tumour, which was a histopathologically proven paraganglioma (PGL). Subsequently, the patient underwent radiotherapy and his vision and visual fields showed improvement. Follow-up examination 3 years later showed a left retinal capillary hemangioblastoma (RCH), which was treated with green laser photocoagulation, resulting in complete sclerosis. This case is unique because of the extremely rare coexistence of a sellar PGL and RCH, which to our knowledge has not been reported so far.

Authors
Shamika Ghaisas, Kavitha Rao, Archana Preethi, Padmaja Rani

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