Case report: features of radiation diagnostics in the search for complications (after surgical interventions) and the identification of new neoplasms in a patient with Gippel-Lindau disease in a chronic critical condition

Lilia V. Bessonova; Margarita L. Radutnaya; Alexey А. Yakovlev; A Yakovleva; I. G. Shchelkunova

doi:10.36425/rehab33952

Physical and rehabilitation medicine, medical rehabilitation ›› 2020, Vol. 2 ›› Issue (3) :273 -279. DOI: 10.36425/rehab33952

CASE REPORT

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Case report: features of radiation diagnostics in the search for complications (after surgical interventions) and the identification of new neoplasms in a patient with Gippel-Lindau disease in a chronic critical condition

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Abstract

Justification. One of the forms of systemic angioreticulomatosis is the combination of a tumor (angioreticuloma) of the cerebellum with retinal angioma (the so-called Hippel-Lindau disease). With this hereditary disease, the general condition of patients and the prognosis depend on concomitant tumor diseases. Including for a comprehensive diagnosis of this syndrome, radiation research methods are used.

Description of the clinical case. A young patient with Hippel-Lindau disease and a number of neurological disorders was enrolled in a course of treatment and rehabilitation measures at the Federal Center for Pharmacy of the Republic of Poland. At the hospitalization stage in the previous hospital, she underwent microsurgical removal of an intracerebral tumor. During the examination, possible long-term postoperative complications were excluded, however, kidney and pancreas lesions were detected. As a result of the adjusted course of rehabilitation, the patient showed positive dynamics (in particular, an increase in functional and somatic status).

Conclusion. In Hippel-Lindau disease, as one of the forms of multiple angioreticulomatosis, cerebellar angioreticuloma and retinal angioma can be combined with lesions of other internal organs. Therefore, a comprehensive diagnosis of this category of patients is necessary. Timely identification of foci of Hippel-Lindau disease, complications after previous treatment allows you to choose the necessary amount of therapeutic and rehabilitation measures, which in the future can improve the patient’s quality of life and prognosis.

Keywords

von Hippel-Lindau Disease / angiomatoses / familial cerebello-retinal / cerebellar tumors / retinal tumors / VHL syndrome / diagnostic imaging / case reports

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Lilia V. Bessonova, Margarita L. Radutnaya, Alexey А. Yakovlev, A Yakovleva, I. G. Shchelkunova. Case report: features of radiation diagnostics in the search for complications (after surgical interventions) and the identification of new neoplasms in a patient with Gippel-Lindau disease in a chronic critical condition. Physical and rehabilitation medicine, medical rehabilitation, 2020, 2(3): 273-279 DOI:10.36425/rehab33952

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