Rida Ali M, Glover Caleb M, Nguyen Eric, Plaehn Scott
Internal Medicine, Michigan State University, Lansing, USA.
Internal Medicine, McLaren Greater Lansing, Lansing, USA.
Cureus. 2025 Apr 21;17(4):e82746. doi: 10.7759/cureus.82746. eCollection 2025 Apr.
This case report discusses a 43-year-old male patient with a history of chronic kidney disease and gastroesophageal reflux disease (GERD) who presented with nonspecific symptoms, including nausea, vomiting, abdominal discomfort, and mild headaches. Initially attributed to gastrointestinal issues, further investigation revealed a 1 cm enhancing mass in the fourth ventricle via imaging, causing obstructive hydrocephalus. A successful suboccipital craniotomy was performed to resect the hemangioblastoma, a highly vascular tumor. The patient had an uneventful recovery and was scheduled for follow-up to monitor for potential recurrence and associated conditions, such as those related to von Hippel-Lindau syndrome. This case highlights the critical importance of considering brain tumors in patients with vague presenting symptoms and reinforces the role of timely imaging and surgical intervention in improving patient outcomes.
本病例报告讨论了一名43岁男性患者，有慢性肾病和胃食管反流病（GERD）病史，出现非特异性症状，包括恶心、呕吐、腹部不适和轻度头痛。最初认为是胃肠道问题，进一步检查通过影像学发现第四脑室内有一个1厘米的强化肿块，导致梗阻性脑积水。成功进行了枕下开颅手术以切除血管母细胞瘤，这是一种血管丰富的肿瘤。患者恢复顺利，计划进行随访以监测潜在的复发及相关病症，如与冯·希佩尔-林道综合征相关的病症。本病例强调了对于症状模糊的患者考虑脑肿瘤的至关重要性，并强化了及时成像和手术干预在改善患者预后方面的作用。
