Hemangioblastomas may occur either sporadically or as a manifestation of von Hippel-Lindau (VHL) disease.[5] Although approximately 75% of all hemangioblastomas appear to be sporadic, some of these may represent occult cases of VHL that can be detected if patients are appropriately screened for germline VHL pathogenic variants.[6] Hemangioblastomas can cause local symptoms by compression of neural structures, bleeding, or paraneoplastic complications.[7] In patients with VHL disease, asymptomatic hemangioblastomas are diagnosed based on imaging surveillance. Here, VHL is linked to hemangioblastoma.