title: Germinoma-unusual presentation: a case report.
abstract: Germinoma accounts for two-thirds of germ cell tumors and about 40% of all pineal region neoplasms. This case illustrates an unusual manifestation of metatastic germinoma with spread to ventricles and meninges without a pineal mass. A 24-year-old man presented with nausea, vertigo, and left facial droop. Cerebrospinal fluid aspirate showed malignant cells most suggestive of a germinoma.
authors.affiliation: University of Connecticut Health Center, Department of Diagnostic Imaging and Therapeutics, Farmington, CT 06030, USA. cyangmd@pol.net
authors.forename: Clifford
authors.initials: C
authors.lastname: Yang
authors.forename: Bipin
authors.initials: B
authors.lastname: Jagjivan
authors.forename: Keshav
authors.initials: K
authors.lastname: Rao
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000134:cerebrospinal fluid / Q000175:diagnosis*; D002551:Cerebral Ventricle Neoplasms / Q000175:diagnosis / Q000556:secondary*; D005158:Facial Paralysis / Q000209:etiology; D018237:Germinoma / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000556:secondary*; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis / Q000556:secondary*; D009325:Nausea / Q000209:etiology; D014717:Vertigo / Q000209:etiology