Polycythemia with Cerebellar Hemangioblastoma
Keywords:
polycythemia, cerebellar hemangioblastoma
Abstract
56 year old male presented with one month history of vomiting with abdominal pain; hemogram suggested polycythemia with hemoglobin of 16.5-18.1gm%, gastroscopy showed pan gastritis, bone marrow smear, biopsy showed erythroid, megakaryocytic hyperplasia;ultra sonogram abdomen, pelvis did not show any significant abnormality; patient improved with parenteral hydration, proton pump inhibitors; after ~7 months he returned with weakness, weight loss; hemoglobin alone had increased to 19 to 20gm%, with a hematocrit of 56.1%, other cell lines were not involved, suggesting secondary polycythemia; CT scan brain revealed Cerebellar Hemangioblastoma with obstructive hydrocephalus; emergency ventriculo peritoneal shunt was performed, followed by excision of the tumor; patient recovered and hemoglobin normalized.
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Published
2015-03-15
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