Pineal germinoma with intratumoral hemorrhage after neuroendoscopic tumor biopsy.
METHODS
We report an intratumoral hemorrhage immediately after a ventricular endoscopic procedure in an 18-year-old man who had a pineal germinoma with symptomatic hydrocephalus. The patient was successfully treated using long tract external ventricular drainage and urgent radiation therapy.


CONCLUSIONS
The contributing factors for the acute reduction of intracranial pressure to zero during the endoscopic procedure are discussed.
Wong
Tai-Tong
TT
Division of Pediatric Neurosurgery, Neurological Institute, Taipei Veterans General Hospital and National Yang Ming University School of Medicine, Taiwan, Republic of China. ttwong@vghtpe.gov.tw
Yen
Sang-Hue
SH
Ho
Donald M
DM
Chang
Feng-Chi
FC
Chang
Kai-Ping
KP
D000293:Adolescent; D001706:Biopsy / Q000009:adverse effects; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D004724:Endoscopy / Q000009:adverse effects*; D018237:Germinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D010871:Pinealoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D000509:alpha-Fetoproteins / Q000378:metabolism
D018997:Chorionic Gonadotropin, beta Subunit, Human; D000509:alpha-Fetoproteins