Management of dual intracranial germinoma by radiotherapy alone.

Abstract

Synchronous intracranial germ cell tumor in the pineal and suprasellar region is rare. They represent only 5-10% of all intracranial germinomas. They are also known by the entity "double midline atypical teratoma" and are common in the second decade of life. We report a case of an 11-year-old girl having dual midline intracranial lesions with obstructive hydrocephalus treated by ventriculo-peritoneal shunt. Diagnosis of germinoma was made on the basis of imaging and elevated beta-human chorionic gonadotropin in cerebrospinal fluid. Radiotherapy was instituted, which resulted in the total disappearance of both the lesions. Clinical expression, diagnosis and management strategies are discussed.

• Authors: Rakesh Gupta, Abhishek Songara
• Journal: Journal of pediatric neurosciences (J Pediatr Neurosci) 2015 Jan-Mar Vol. 10 Issue 1 Pg. 38-40 ISSN: 1817-1745 [Print] India
• PMID: 25878742 (Publication Type: Case Reports)