The authors report a unique case of an intramedullary cerebellar hemangioblastoma that was supplied by a persistent hypoglossal artery. In this case, recognition of the persistent hypoglossal artery through angiographic imaging was crucial in identifying tumor blood supply and in guiding the decision to perform a craniotomy without tumor embolization.
- Cerebellar hemangioblastoma
- endovascular embolization
- persistent hypoglossal artery
- posterior fossa craniectomy
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Competing interests Dr. Siddiqui has received research grants from the National Institutes of Health (co-investigator: NINDS 1R01NS064592-01A1, Hemodynamic induction of pathologic remodeling leading to intracranial aneurysms) and the University at Buffalo (Research Development Award); holds financial interests in Hotspur, Intratech Medical, StimSox, and Valor Medical; serves as a consultant to Codman & Shurtleff, Inc., Concentric Medical, ev3/Covidien Vascular Therapies, GuidePoint Global Consulting, and Penumbra; belongs to the speakers' bureaus of Codman & Shurtleff, Inc. and Genentech; serves on an advisory board for Codman & Shurtleff; and has received honoraria from American Association of Neurological Surgeons' courses, an Emergency Medicine Conference, Genentech, Neocure Group LLC, and from Abbott Vascular and Codman & Shurtleff, Inc. for training other neurointerventionists in carotid stenting and for training physicians in endovascular stenting for aneurysms. Dr. Siddiqui receives no consulting salary arrangements. All consulting is per project and/or per hour.
Provenance and peer review Not commissioned; externally peer reviewed.