title: Isolated intraspinal germinoma in a child with congenital adrenal hyperplasia.
abstract: METHODS
  Case report.
  
  
  OBJECTIVE
  To report an intramedullary germinoma associated with congenital adrenal hyperplasia (CAH).
  
  
  METHODS
  We report a 14-year-old white male with CAH who was found to have an intramedullary germinoma of the conus medullaris. Presentation and evaluation were for progressive urinary incontinence. A brief review of relevant literature was presented.
  
  
  RESULTS
  Cases where germinomas have occurred simultaneously with CAH have been identified intracranially, but to our knowledge, this is the first case of CAH and intramedullary spinal cord germinoma occurring simultaneously.
  
  
  CONCLUSIONS
  Although rare, primary intramedullary germinomas do occur. The association between CAH and spinal cord germinoma should be considered by clinicians.
authors.affiliation: Department of Cell Biology, University of Alabama at Birmingham, Section of Pediatric Neurosurgery, Children's Hospital, Birmingham, AL, USA.
authors.forename: R S
authors.initials: RS
authors.lastname: Tubbs
authors.forename: J E
authors.initials: JE
authors.lastname: McKinley
authors.forename: D B
authors.initials: DB
authors.lastname: Joseph
authors.forename: J
authors.initials: J
authors.lastname: Atchison
authors.forename: M
authors.initials: M
authors.lastname: Loukas
authors.forename: J
authors.initials: J
authors.lastname: Pugh
authors.forename: M M
authors.initials: MM
authors.lastname: Shoja
mesh_terms: D000293:Adolescent; D000312:Adrenal Hyperplasia, Congenital / Q000150:complications* / Q000175:diagnosis; D018237:Germinoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000175:diagnosis