Lab Studies:
He was sent to the emergency department for further workup and evaluation. A complete blood count, comprehensive metabolic panel, magnesium level, and thyroid stimulating hormone were normal. Urine toxicology testing was negative.
Other Studies:
An MRI brain with and without contrast demonstrated an enhancing complex cystic and solid mass in the left cerebellar hemisphere, measuring 18mm, along with mild hydrocephalus. <a href="CaseStudyImages/CS1Don039tWorryIt039-1302.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1Don039tWorryIt-1302.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> These findings were concerning for a pilocytic astrocytoma.
<br>A CTA head and neck demonstrated no large vessel occlusion or vascular malformation. The cerebellar mass was favored to be a pilocytic astrocytoma based on imaging findings.
<br>Pathology results following neurosurgical resection of the mass came back as hemangioblastoma.
Consultations:
Neurosurgery
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