{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T21:09:40Z","timestamp":1771103380662,"version":"3.50.1"},"reference-count":46,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,7,29]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>\n                      Von Hippel\u2013Lindau disease (VHL) is an autosomal dominant tumor predisposition syndrome caused by mutations in the\n                      <jats:italic>VHL<\/jats:italic>\n                      gene. Patients with VHL are predisposed to developing numerous neoplasms, including central nervous system hemangioblastomas that typically arise within the cerebellum, brainstem, or spinal cord. The authors present the unusual case of a 69-year-old patient with a hemangioblastoma of the trigeminal nerve as his initial presentation of VHL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>\n                      A 69-year-old male presented with progressive right-sided V3 paresthesias, gait disturbance, and diplopia. Magnetic resonance imaging demonstrated an enhancing 0.5-cm nodule within the right trigeminal nerve and an associated peritumoral cyst exerting mass effect on the cerebral peduncle. Neural axis imaging demonstrated pia-based enhancing lesions concerning for multiple spinal hemangioblastomas. The patient underwent an uncomplicated retrosigmoid craniotomy for trigeminal nerve hemangioblastoma resection. The patient had postoperative improvement in his gait, diplopia, and facial paresthesias. Genetic testing revealed that the patient was heterozygous for a pathological mutation in the\n                      <jats:italic>VHL<\/jats:italic>\n                      gene.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Hemangioblastomas in adults over 50 years of age should prompt a workup for VHL. Recognizing that cranial nerves are a possible site of hemangioblastoma occurrence is important for neurosurgeons and radiologists alike. Resection of cranial nerve hemangioblastomas is technically challenging but can lead to symptom improvement for patients.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24149\">https:\/\/thejns.org\/doi\/10.3171\/CASE24149<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24149","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T02:58:38Z","timestamp":1722221918000},"source":"Crossref","is-referenced-by-count":1,"title":["Trigeminal nerve hemangioblastoma in the setting of undiagnosed von Hippel\u2013Lindau disease: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Nisha L","family":"Busch","sequence":"first","affiliation":[{"name":"College of Medicine, Drexel University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Matos Cruz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny Health Network, Neuroscience Institute, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Herbst","sequence":"additional","affiliation":[{"name":"Departments of NeuroOncology, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kymberly","family":"Gyure","sequence":"additional","affiliation":[{"name":"Department of Pathology, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodney","family":"Wegner","sequence":"additional","affiliation":[{"name":"Departments of Radiation Oncology, Allegheny Health Network, Cancer Institute, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny Health Network, Neuroscience Institute, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J","family":"Shepard","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny Health Network, Neuroscience Institute, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Handb Clin Neurol","first-page":"139","article-title":"Von Hippel\u2013Lindau disease","volume":"132","author":"Chittiboina","year":"2015","unstructured":"Chittiboina PLonser RR. Von Hippel\u2013Lindau disease. Handb Clin Neurol. 2015;132:139-156."},{"issue":"7","key":"bib2","series-title":"J Med Genet","first-page":"443","article-title":"Von Hippel-Lindau disease: a genetic study","volume":"28","author":"Maher","year":"1991","unstructured":"Maher ERIselius LYates JR, et al. Von Hippel-Lindau disease: a genetic study. J Med Genet. 1991;28(7):443-447."},{"issue":"8","key":"bib3","series-title":"Eur J Med Genet","first-page":"104538","article-title":"Von Hippel-Lindau disease: updated guideline for diagnosis and surveillance","volume":"65","author":"Louise M Binderup","year":"2022","unstructured":"Louise M Binderup MSmerdel MBorgwadt L, et al. Von Hippel-Lindau disease: updated guideline for diagnosis and surveillance. Eur J Med Genet. 2022;65(8):104538."},{"key":"bib4","series-title":"GeneReviews\u00ae","article-title":"Von Hippel-Lindau syndrome","author":"van Leeuwaarde","year":"1993","unstructured":"van Leeuwaarde RSAhmad Svan Nesselrooij BZandee WGiles RH. Von Hippel-Lindau syndrome. In: Adam MPFeldman JMirzaa GM, et al., eds. GeneReviews\u00ae. University of Washington;1993. Accessed January 30, 2024. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1463\/."},{"issue":"24","key":"bib5","series-title":"Oncotarget","first-page":"38456","article-title":"Genotype-phenotype correlations in Chinese von Hippel-Lindau disease patients","volume":"8","author":"Peng","year":"2017","unstructured":"Peng SShepard MJWang J, et al. Genotype-phenotype correlations in Chinese von Hippel-Lindau disease patients. Oncotarget. 2017;8(24):38456-38465."},{"issue":"2","key":"bib6","series-title":"J Med Genet","first-page":"120","article-title":"A genetic register for von Hippel-Lindau disease","volume":"33","author":"Maddock","year":"1996","unstructured":"Maddock IRMoran AMaher ER, et al. A genetic register for von Hippel-Lindau disease. J Med Genet. 1996;33(2):120-127."},{"issue":"6","key":"bib7","series-title":"J Neurosurg","first-page":"1511","article-title":"Hemangioblastoma diagnosis and surveillance in von Hippel\u2013Lindau disease: a consensus statement","volume":"136","author":"Huntoon","year":"2022","unstructured":"Huntoon KShepard MJLukas RVMcCutcheon IEDaniels ABAsthagiri AR. Hemangioblastoma diagnosis and surveillance in von Hippel\u2013Lindau disease: a consensus statement. J Neurosurg. 2022;136(6):1511-1516."},{"issue":"5","key":"bib8","series-title":"J Neurosurg","first-page":"1055","article-title":"Prospective natural history study of central nervous system hemangioblastomas in von Hippel-Lindau disease","volume":"120","author":"Lonser","year":"2014","unstructured":"Lonser RRButman JAHuntoon K, et al. Prospective natural history study of central nervous system hemangioblastomas in von Hippel-Lindau disease. J Neurosurg. 2014;120(5):1055-1062."},{"issue":"2","key":"bib9","series-title":"J Neurosurg","first-page":"350","article-title":"Pituitary stalk hemangioblastomas in von Hippel\u2013Lindau disease: clinical article","volume":"110","author":"Lonser","year":"2009","unstructured":"Lonser RRButman JAKiringoda RSong DOldfield EH. Pituitary stalk hemangioblastomas in von Hippel\u2013Lindau disease: clinical article. J Neurosurg. 2009;110(2):350-353."},{"issue":"11","key":"bib10","series-title":"Ophthalmology","first-page":"2095","article-title":"Optic nerve hemangioblastoma","volume":"115","author":"Barrett","year":"2008","unstructured":"Barrett RMeyer DBoulos AEames FTorres-Mora J. Optic nerve hemangioblastoma. 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J Neurosurg. 2003;98(4):934-935."},{"issue":"1","key":"bib13","series-title":"Arch Otolaryngol Head Neck Surg","first-page":"85","article-title":"Hemangioblastoma of the internal acoustic canal in a patient with von Hippel-Lindau disease: a case report and review of the literature","volume":"126","author":"Resto","year":"2000","unstructured":"Resto VALustig LR. Hemangioblastoma of the internal acoustic canal in a patient with von Hippel-Lindau disease: a case report and review of the literature. Arch Otolaryngol Head Neck Surg. 2000;126(1):85-88."},{"issue":"8","key":"bib14","series-title":"Neurol Sci","first-page":"1537","article-title":"Solid hemangioblastoma of vestibular nerve mimicking vestibular schwannoma","volume":"36","author":"Grahovac","year":"2015","unstructured":"Grahovac G. Solid hemangioblastoma of vestibular nerve mimicking vestibular schwannoma. Neurol Sci. 2015;36(8):1537-1539."},{"issue":"3","key":"bib15","series-title":"J Neurosurg","first-page":"727","article-title":"Unusual locations of hemangioblastomas. Case illustration","volume":"97","author":"Sajadi","year":"2002","unstructured":"Sajadi Ade Tribolet N. Unusual locations of hemangioblastomas. Case illustration. J Neurosurg. 2002;97(3):727."},{"issue":"6","key":"bib16","series-title":"Surg Neurol","first-page":"640","article-title":"Cranial nerve hemangioblastomas. Report of a rare case and review of literature","volume":"67","author":"Roberti","year":"2007","unstructured":"Roberti FJones RVWright DC. Cranial nerve hemangioblastomas. Report of a rare case and review of literature. Surg Neurol. 2007;67(6):640-646."},{"issue":"2","key":"bib17","series-title":"J Clin Neurosci","first-page":"333","article-title":"A solitary hemangioblastoma located on the trochlear nerve","volume":"21","author":"Tang","year":"2014","unstructured":"Tang ZWang CShi J. A solitary hemangioblastoma located on the trochlear nerve. J Clin Neurosci. 2014;21(2):333-335."},{"issue":"3","key":"bib18","series-title":"J Craniofac Surg","first-page":"e256","article-title":"Symptomatic trigeminal neuralgia caused by cerebellopontine angle tumors","volume":"28","author":"Liu","year":"2017","unstructured":"Liu PLiao CZhong WYang MLi SZhang W. Symptomatic trigeminal neuralgia caused by cerebellopontine angle tumors. J Craniofac Surg. 2017;28(3):e256-e258."},{"issue":"3","key":"bib19","series-title":"Medicine","first-page":"e18871","article-title":"Cystic-solid hemangioblastoma at the cerebellopontine angle: a case report","volume":"99","author":"Lan","year":"2020","unstructured":"Lan ZRichard SAZhang Y. Cystic-solid hemangioblastoma at the cerebellopontine angle: a case report. Medicine. 2020;99(3):e18871."},{"key":"bib20","series-title":"Front Oncol","first-page":"570103","article-title":"Incidence, prognostic factors and survival for hemangioblastoma of the central nervous system: analysis based on the surveillance, epidemiology, and end results database","volume":"10","author":"Yin","year":"2020","unstructured":"Yin XDuan HYi ZLi CLu RLi L. Incidence, prognostic factors and survival for hemangioblastoma of the central nervous system: analysis based on the surveillance, epidemiology, and end results database. Front Oncol. 2020;10:570103."},{"issue":"3","key":"bib21","series-title":"Neurosurgery","first-page":"443","article-title":"The role of stereotactic radiosurgery for intracranial hemangioblastomas","volume":"63","author":"Kano","year":"2008","unstructured":"Kano HNiranjan AMongia SKondziolka DFlickinger JCLunsford LD. The role of stereotactic radiosurgery for intracranial hemangioblastomas. Neurosurgery. 2008;63(3):443-450."},{"issue":"7-8","key":"bib22","series-title":"Onkologie","first-page":"443","article-title":"Antiangiogenic treatment for multiple CNS hemangioblastomas","volume":"35","author":"Riklin","year":"2012","unstructured":"Riklin CSeystahl KHofer SHappold CWinterhalder RWeller M. Antiangiogenic treatment for multiple CNS hemangioblastomas. Onkologie. 2012;35(7-8):443-445."},{"issue":"22","key":"bib23","series-title":"Clin Cancer Res","first-page":"4843","article-title":"FDA Approval Summary: Belzutifan for von Hippel-Lindau disease associated tumors","volume":"28","author":"Fallah","year":"2022","unstructured":"Fallah JBrave MHWeinstock C, et al. FDA Approval Summary: Belzutifan for von Hippel-Lindau disease associated tumors. Clin Cancer Res. 2022;28(22):4843-4848."},{"key":"bib1","series-title":"Handb Clin Neurol","first-page":"139","article-title":"Von Hippel\u2013Lindau disease","volume":"132","author":"Chittiboina","year":"2015","unstructured":"Chittiboina PLonser RR. Von Hippel\u2013Lindau disease. Handb Clin Neurol. 2015;132:139-156."},{"issue":"7","key":"bib2","series-title":"J Med Genet","first-page":"443","article-title":"Von Hippel-Lindau disease: a genetic study","volume":"28","author":"Maher","year":"1991","unstructured":"Maher ERIselius LYates JR, et al. Von Hippel-Lindau disease: a genetic study. J Med Genet. 1991;28(7):443-447."},{"issue":"8","key":"bib3","series-title":"Eur J Med Genet","first-page":"104538","article-title":"Von Hippel-Lindau disease: updated guideline for diagnosis and surveillance","volume":"65","author":"Louise M Binderup","year":"2022","unstructured":"Louise M Binderup MSmerdel MBorgwadt L, et al. Von Hippel-Lindau disease: updated guideline for diagnosis and surveillance. Eur J Med Genet. 2022;65(8):104538."},{"key":"bib4","series-title":"GeneReviews\u00ae","article-title":"Von Hippel-Lindau syndrome","author":"van Leeuwaarde","year":"1993","unstructured":"van Leeuwaarde RSAhmad Svan Nesselrooij BZandee WGiles RH. Von Hippel-Lindau syndrome. In: Adam MPFeldman JMirzaa GM, et al., eds. GeneReviews\u00ae. University of Washington;1993. Accessed January 30, 2024. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1463\/."},{"issue":"24","key":"bib5","series-title":"Oncotarget","first-page":"38456","article-title":"Genotype-phenotype correlations in Chinese von Hippel-Lindau disease patients","volume":"8","author":"Peng","year":"2017","unstructured":"Peng SShepard MJWang J, et al. Genotype-phenotype correlations in Chinese von Hippel-Lindau disease patients. Oncotarget. 2017;8(24):38456-38465."},{"issue":"2","key":"bib6","series-title":"J Med Genet","first-page":"120","article-title":"A genetic register for von Hippel-Lindau disease","volume":"33","author":"Maddock","year":"1996","unstructured":"Maddock IRMoran AMaher ER, et al. A genetic register for von Hippel-Lindau disease. J Med Genet. 1996;33(2):120-127."},{"issue":"6","key":"bib7","series-title":"J Neurosurg","first-page":"1511","article-title":"Hemangioblastoma diagnosis and surveillance in von Hippel\u2013Lindau disease: a consensus statement","volume":"136","author":"Huntoon","year":"2022","unstructured":"Huntoon KShepard MJLukas RVMcCutcheon IEDaniels ABAsthagiri AR. Hemangioblastoma diagnosis and surveillance in von Hippel\u2013Lindau disease: a consensus statement. J Neurosurg. 2022;136(6):1511-1516."},{"issue":"5","key":"bib8","series-title":"J Neurosurg","first-page":"1055","article-title":"Prospective natural history study of central nervous system hemangioblastomas in von Hippel-Lindau disease","volume":"120","author":"Lonser","year":"2014","unstructured":"Lonser RRButman JAHuntoon K, et al. Prospective natural history study of central nervous system hemangioblastomas in von Hippel-Lindau disease. J Neurosurg. 2014;120(5):1055-1062."},{"issue":"2","key":"bib9","series-title":"J Neurosurg","first-page":"350","article-title":"Pituitary stalk hemangioblastomas in von Hippel\u2013Lindau disease: clinical article","volume":"110","author":"Lonser","year":"2009","unstructured":"Lonser RRButman JAKiringoda RSong DOldfield EH. Pituitary stalk hemangioblastomas in von Hippel\u2013Lindau disease: clinical article. J Neurosurg. 2009;110(2):350-353."},{"issue":"11","key":"bib10","series-title":"Ophthalmology","first-page":"2095","article-title":"Optic nerve hemangioblastoma","volume":"115","author":"Barrett","year":"2008","unstructured":"Barrett RMeyer DBoulos AEames FTorres-Mora J. Optic nerve hemangioblastoma. Ophthalmology. 2008;115(11):2095."},{"issue":"1","key":"bib11","series-title":"Neurosurg Rev","first-page":"205","article-title":"A rare case of peripheral nerve hemangioblastoma\u2014case report and literature review","volume":"38","author":"Rasulic","year":"2015","unstructured":"Rasulic LSamardzic MBascarevic VMicovic MCvrkota IZivkovic B. A rare case of peripheral nerve hemangioblastoma\u2014case report and literature review. Neurosurg Rev. 2015;38(1):205-209."},{"issue":"4","key":"bib12","series-title":"J Neurosurg","first-page":"934","article-title":"Cranial nerve hemangioblastoma","volume":"98","author":"Ferroli","year":"2003","unstructured":"Ferroli PGiombini SFranzini ABroggi G. Cranial nerve hemangioblastoma. J Neurosurg. 2003;98(4):934-935."},{"issue":"1","key":"bib13","series-title":"Arch Otolaryngol Head Neck Surg","first-page":"85","article-title":"Hemangioblastoma of the internal acoustic canal in a patient with von Hippel-Lindau disease: a case report and review of the literature","volume":"126","author":"Resto","year":"2000","unstructured":"Resto VALustig LR. Hemangioblastoma of the internal acoustic canal in a patient with von Hippel-Lindau disease: a case report and review of the literature. Arch Otolaryngol Head Neck Surg. 2000;126(1):85-88."},{"issue":"8","key":"bib14","series-title":"Neurol Sci","first-page":"1537","article-title":"Solid hemangioblastoma of vestibular nerve mimicking vestibular schwannoma","volume":"36","author":"Grahovac","year":"2015","unstructured":"Grahovac G. Solid hemangioblastoma of vestibular nerve mimicking vestibular schwannoma. Neurol Sci. 2015;36(8):1537-1539."},{"issue":"3","key":"bib15","series-title":"J Neurosurg","first-page":"727","article-title":"Unusual locations of hemangioblastomas. Case illustration","volume":"97","author":"Sajadi","year":"2002","unstructured":"Sajadi Ade Tribolet N. Unusual locations of hemangioblastomas. Case illustration. J Neurosurg. 2002;97(3):727."},{"issue":"6","key":"bib16","series-title":"Surg Neurol","first-page":"640","article-title":"Cranial nerve hemangioblastomas. Report of a rare case and review of literature","volume":"67","author":"Roberti","year":"2007","unstructured":"Roberti FJones RVWright DC. Cranial nerve hemangioblastomas. Report of a rare case and review of literature. Surg Neurol. 2007;67(6):640-646."},{"issue":"2","key":"bib17","series-title":"J Clin Neurosci","first-page":"333","article-title":"A solitary hemangioblastoma located on the trochlear nerve","volume":"21","author":"Tang","year":"2014","unstructured":"Tang ZWang CShi J. A solitary hemangioblastoma located on the trochlear nerve. J Clin Neurosci. 2014;21(2):333-335."},{"issue":"3","key":"bib18","series-title":"J Craniofac Surg","first-page":"e256","article-title":"Symptomatic trigeminal neuralgia caused by cerebellopontine angle tumors","volume":"28","author":"Liu","year":"2017","unstructured":"Liu PLiao CZhong WYang MLi SZhang W. Symptomatic trigeminal neuralgia caused by cerebellopontine angle tumors. J Craniofac Surg. 2017;28(3):e256-e258."},{"issue":"3","key":"bib19","series-title":"Medicine","first-page":"e18871","article-title":"Cystic-solid hemangioblastoma at the cerebellopontine angle: a case report","volume":"99","author":"Lan","year":"2020","unstructured":"Lan ZRichard SAZhang Y. Cystic-solid hemangioblastoma at the cerebellopontine angle: a case report. Medicine. 2020;99(3):e18871."},{"key":"bib20","series-title":"Front Oncol","first-page":"570103","article-title":"Incidence, prognostic factors and survival for hemangioblastoma of the central nervous system: analysis based on the surveillance, epidemiology, and end results database","volume":"10","author":"Yin","year":"2020","unstructured":"Yin XDuan HYi ZLi CLu RLi L. Incidence, prognostic factors and survival for hemangioblastoma of the central nervous system: analysis based on the surveillance, epidemiology, and end results database. Front Oncol. 2020;10:570103."},{"issue":"3","key":"bib21","series-title":"Neurosurgery","first-page":"443","article-title":"The role of stereotactic radiosurgery for intracranial hemangioblastomas","volume":"63","author":"Kano","year":"2008","unstructured":"Kano HNiranjan AMongia SKondziolka DFlickinger JCLunsford LD. The role of stereotactic radiosurgery for intracranial hemangioblastomas. Neurosurgery. 2008;63(3):443-450."},{"issue":"7-8","key":"bib22","series-title":"Onkologie","first-page":"443","article-title":"Antiangiogenic treatment for multiple CNS hemangioblastomas","volume":"35","author":"Riklin","year":"2012","unstructured":"Riklin CSeystahl KHofer SHappold CWinterhalder RWeller M. Antiangiogenic treatment for multiple CNS hemangioblastomas. Onkologie. 2012;35(7-8):443-445."},{"issue":"22","key":"bib23","series-title":"Clin Cancer Res","first-page":"4843","article-title":"FDA Approval Summary: Belzutifan for von Hippel-Lindau disease associated tumors","volume":"28","author":"Fallah","year":"2022","unstructured":"Fallah JBrave MHWeinstock C, et al. FDA Approval Summary: Belzutifan for von Hippel-Lindau disease associated tumors. 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