Hybrid endovascular and microsurgical treatment for large mesencephalic-cerebellar hemangioblastoma
1Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China; and 2Department of Neurosurgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona The large intracranial hemangioblastoma is a top surgical challenge due to its nature of invading brain parenchyma, tight adherence to the pia, and rich blood supply from numerous pial vasculatures and arteries in the proximity. If the brainstem is involved in the lesion, the surgery will be more dangerous because of potential brainstem impingement. In this illustrative video, we present a case of a 54-year-old male with a large hemangioblastoma at the mesencephalic-cerebellar region, which was successfully treated by hybrid endovascular embolization and microsurgery via an occipital interhemispheric transtentorial approach with minimal intraoperative blood loss and a favorable outcome. **Intro music: "Daybreak" by Graeme Rosner
