CTICasesSpinal Hemangioblastoma
Imaging findings
CT shows a super hypervascular, avidly enhancing intramedullary mass occupying the spinal canal, with associated big dilated anterior spinal vessels. MRI confirms an avidly enhancing intramedullary mass.
Key takeaways
Always remember to look at the spine on thoracic imaging, as incidental findings can be clinically significant. A hypervascular intramedullary spinal mass, especially in the context of neurological symptoms, strongly suggests a hemangioblastoma. These are often seen in the setting of Von Hippel-Lindau disease.
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