title: [Neurological metastases secondary to germ cell testicular tumor].
abstract: OBJECTIVE
  Neurological metastases secondary to urological tumors account for 12% overall. The ones derived from germ cells testicular tumors are exceptional in the age of cisplatin.
  
  
  METHODS
  We report one case of mixed germ cell tumor in a 49-year-old male patient treated with systemic chemotherapy during 18 months before presenting with severe central and peripheral neurological symptoms leading to death due to massive cerebral hemorrhage.
  
  
  RESULTS
  We describe three types of presentation of cerebral metastases in patients with testicular cancer. Type I present synchronically with the primary tumor. Type 2 are diagnosed after a period of remission after conventional cytostatic treatment. Type 3 metastases are diagnosed during the course of the disease and its treatment.
  
  
  CONCLUSIONS
  Except unique metastases classified in groups 1 and 2, which are susceptible of surgery or radiosurgery, in which in response may be expected; the rest of lesions secondary to germ cell tumors have an ominous prognosis and outcomes, with short survivals.
authors.affiliation: Servicio de Urología, Hospital de Cruces, Baracaldo, Vizcaya, España. rllarena@euskalnet.net
authors.forename: Roberto
authors.initials: R
authors.lastname: Llarena Ibarguren
authors.forename: Igor
authors.initials: I
authors.lastname: Azurmendi Arín
authors.forename: Jorge
authors.initials: J
authors.lastname: García-Olaverri Rodríguez
authors.forename: Ivan
authors.initials: I
authors.lastname: Olano Grasa
authors.forename: Emilio
authors.initials: E
authors.lastname: Canton Aller
authors.forename: Carlos
authors.initials: C
authors.lastname: Pertusa Peña
mesh_terms: D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000556:secondary*; D009423:Nervous System Neoplasms / Q000556:secondary*; D013736:Testicular Neoplasms / Q000473:pathology*