Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2022; 10(26): 9518-9523
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9518
Supratentorial hemangioblastoma at the anterior skull base: A case report
Si-Ting Xu, Xin Cao, Xu-Yang Yin, Jing-Yi Zhang, Jin Nan, Jun Zhang
Si-Ting Xu, Xin Cao, Xu-Yang Yin, Jing-Yi Zhang, Jin Nan, Jun Zhang, Department of Radiology, Huashan Hospital, Fudan University, Shanghai 200040, China
Author contributions: Xu ST and Cao X contributed to conceiving the study; Xu ST, Cao X, and Yin XY contributed to garnering resources and writing the original draft; Xu ST, Zhang J, and Nan J contributed to writing, review, and editing the manuscript; all authors have read and agreed to the published version of the manuscript.
Supported by Shanghai Sailing Program, No. 22YF1405000; and Greater Bay Area Institute of Precision Medicine (Guangzhou), No. KCH2310094.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Jun Zhang, PhD, Chief Doctor, Department of Radiology, Huashan Hospital, Fudan University, No. 12 Wulumuqi Middle Road, Shanghai 200040, China.
Received: May 20, 2022
Peer-review started: May 20, 2022
First decision: June 8, 2022
Revised: June 25, 2022
Accepted: August 11, 2022
Article in press: August 11, 2022
Published online: September 16, 2022

Hemangioblastoma (HB) is a rare tumor, comprising about 2% of all intracranial tumors. Although it is a benign tumor, due to the abundant blood supply and its close relationship with adjacent cerebral blood vessels, surgical resection is difficult and may cause complications such as bleeding. If HB can be correctly diagnosed before surgery, complications can be avoided by methods such as vascular embolism before surgery.


A 51-year-old male patient was admitted to our hospital because of blurred vision in his left eye for 2 years. Ophthalmological examination revealed oculus dexter vision acuity of 1.0 and oculus sinister vision acuity of 0.6. His left vision had tubular visual field, while his right vision had a partial defect. Computed tomography and magnetic resonance imaging showed a mass lesion at the left anterior base of the skull, which could have been a meningioma. During the operation, the tumor was found to be located at the entrance of the left optic nerve tube, closely adhering to the left optic nerve and the blood supply was extremely abundant. The tumor was carefully separated and diagnosed as HB postoperatively after pathological examination.


A rare HB at the anterior skull base could be distinguished by its imaging features, which is essential to the surgical procedures.

Keywords: Hemangioblastoma, Supratentorial, Anterior skull base, Diagnosis, Magnetic resonance imaging, Case report

Core Tip: Hemangioblastoma (HB) tends to occur in the infratentorial region, especially in the cerebellar hemisphere. Supratentorial HB incidence was only about 3.2%. HB at the anterior skull base is exceedingly rare and needs to be distinguished from other tumors that tend to occur in this region. Magnetic resonance imaging plays a key role in the differential diagnosis of supratentorial HB, allowing its correct diagnosis and guiding the choice of surgical procedure.