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THE CEREBELLAR HEMANGIOBLASTOMAS: Review of Fifty-Three Cases, with Special Reference to Cerebellar Cysts and the Association of Polycythemia

THE CEREBELLAR HEMANGIOBLASTOMAS: Review of Fifty-Three Cases, with Special Reference to... Abstract CUSHING AND BAILEY1 believed that xanthochromic cysts of the cerebellum which were not definitely associated with gliomas were in all likelihood of hemangioblastomatous origin. Our experience with those cerebellar cysts led us to analyze our material of the past 20 years, chiefly in order to establish their relation to the hemangioblastomas. We also wished to determine the incidence of multiple hemangioblastoma, i. e., Lindau's disease, in our series and to examine the occurrence of polycythemia in patients with hemangioblastoma. CASE MATERIAL This study comprises 48 surgically verified cases of cerebellar hemangioblastoma or hemangioblastomatous cyst and 5 cases in which the tumor was first disclosed at autopsy. Thirty-seven occurred in the Neurological Institute of New York between 1929 and 1949, and 11, in the Veterans Administration Hospital, New York. A total of 32 hemangioblastomas were verified cytologically, and 7 were verified by inspection at operation. Included in this study are References 1. Cushing, H., and Bailey, P.: Tumors Arising from the Blood Vessels of the Brain, Angiomatous Malformations and Hemangioblastomas , Springfield, Ill., Charles C Thomas, Publisher, 1928. 2. Perlmutter, I.; Horrax, G., and Poppen, J. L.: Cystic Hemangioblastomas of the Cerebellum: End Results in 25 Verified Cases , Surg., Gynec. & Obst. 91:89-99, 1950. 3. Raney, R. B., and Courville, C. B.: Multiple Hemangioblastomas of the Central Nervous System: Review of Literature and Report of a Case , Bull. Los Angeles Neurol. Soc. 2:104-114, 1937. 4. Cumings, J. N.: Chemistry of Cerebral Cysts , Brain 73:244-250, 1950. 5. Globus, J. H.: Hemorrhage into Hemangiomatous Cerebellar Cyst , Arch. Neurol. & Psychiat. 64:741-742 ( (Nov.) ) 1950. 6. Wedd, G.: A Fatal Case of Cerebellar Hæmangioma Without Previous Symptoms, with Note on Cerebellar Haemangiomata , J. Roy. Nav. M. Serv. 28:185-188, 1942. 7. Carpenter, G.; Schwartz, H., and Walker, A. E.: Neurogenic Polycythemia , Ann. Int. Med. 19:470-481, 1943. 8. Drew, J. H., and Grant, F. C.: Polycythemia as a Neurosurgical Problem: Review, with Reports of 2 Cases , Arch. Neurol. & Psychiat. 54:25-36 ( (July) ) 1945. 9. Sabin, F. R.: Preliminary Note on the Differentiation of Angioblasts and the Method by Which They Produce Blood-Vessels, Blood Plasma and Red Blood Cells as Seen in the Living Chick , Anat. Rec. 13:199-205, 1917. 10. Pilliet, A. H.: Hématopoiesie dans les angiomes du foie , Progrès méd. 29:50, 1891 11. Cushing and Bailey.1 12. Turner, O. A., and Kernohan, J. W.: Vascular Malformations and Vascular Tumors Involving the Spinal Cord: A Pathologic Study of 46 Cases , Arch. Neurol. & Psychiat. 46:444-463 ( (Sept.) ) 1941. 13. Walker, A. E.: Neurogenic Polycythemia: Report of a Case , Arch. Neurol. & Psychiat. 53:251-253 ( (March) ) 1945. 14. Murray, M.: Personal communication to the authors. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

THE CEREBELLAR HEMANGIOBLASTOMAS: Review of Fifty-Three Cases, with Special Reference to Cerebellar Cysts and the Association of Polycythemia

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Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1952.02320140105008
Publisher site
See Article on Publisher Site

Abstract

Abstract CUSHING AND BAILEY1 believed that xanthochromic cysts of the cerebellum which were not definitely associated with gliomas were in all likelihood of hemangioblastomatous origin. Our experience with those cerebellar cysts led us to analyze our material of the past 20 years, chiefly in order to establish their relation to the hemangioblastomas. We also wished to determine the incidence of multiple hemangioblastoma, i. e., Lindau's disease, in our series and to examine the occurrence of polycythemia in patients with hemangioblastoma. CASE MATERIAL This study comprises 48 surgically verified cases of cerebellar hemangioblastoma or hemangioblastomatous cyst and 5 cases in which the tumor was first disclosed at autopsy. Thirty-seven occurred in the Neurological Institute of New York between 1929 and 1949, and 11, in the Veterans Administration Hospital, New York. A total of 32 hemangioblastomas were verified cytologically, and 7 were verified by inspection at operation. Included in this study are References 1. Cushing, H., and Bailey, P.: Tumors Arising from the Blood Vessels of the Brain, Angiomatous Malformations and Hemangioblastomas , Springfield, Ill., Charles C Thomas, Publisher, 1928. 2. Perlmutter, I.; Horrax, G., and Poppen, J. L.: Cystic Hemangioblastomas of the Cerebellum: End Results in 25 Verified Cases , Surg., Gynec. & Obst. 91:89-99, 1950. 3. Raney, R. B., and Courville, C. B.: Multiple Hemangioblastomas of the Central Nervous System: Review of Literature and Report of a Case , Bull. Los Angeles Neurol. Soc. 2:104-114, 1937. 4. Cumings, J. N.: Chemistry of Cerebral Cysts , Brain 73:244-250, 1950. 5. Globus, J. H.: Hemorrhage into Hemangiomatous Cerebellar Cyst , Arch. Neurol. & Psychiat. 64:741-742 ( (Nov.) ) 1950. 6. Wedd, G.: A Fatal Case of Cerebellar Hæmangioma Without Previous Symptoms, with Note on Cerebellar Haemangiomata , J. Roy. Nav. M. Serv. 28:185-188, 1942. 7. Carpenter, G.; Schwartz, H., and Walker, A. E.: Neurogenic Polycythemia , Ann. Int. Med. 19:470-481, 1943. 8. Drew, J. H., and Grant, F. C.: Polycythemia as a Neurosurgical Problem: Review, with Reports of 2 Cases , Arch. Neurol. & Psychiat. 54:25-36 ( (July) ) 1945. 9. Sabin, F. R.: Preliminary Note on the Differentiation of Angioblasts and the Method by Which They Produce Blood-Vessels, Blood Plasma and Red Blood Cells as Seen in the Living Chick , Anat. Rec. 13:199-205, 1917. 10. Pilliet, A. H.: Hématopoiesie dans les angiomes du foie , Progrès méd. 29:50, 1891 11. Cushing and Bailey.1 12. Turner, O. A., and Kernohan, J. W.: Vascular Malformations and Vascular Tumors Involving the Spinal Cord: A Pathologic Study of 46 Cases , Arch. Neurol. & Psychiat. 46:444-463 ( (Sept.) ) 1941. 13. Walker, A. E.: Neurogenic Polycythemia: Report of a Case , Arch. Neurol. & Psychiat. 53:251-253 ( (March) ) 1945. 14. Murray, M.: Personal communication to the authors.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Feb 1, 1952

References