title: 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: Department of Neurosurgery, Sri Aurobindo Institute of Medical Sciences and P.G. Institute, Indore, Madhya Pradesh, India.
authors: Rakesh
authors: R
authors: Gupta
authors: Department of Neurosurgery, Sri Aurobindo Institute of Medical Sciences and P.G. Institute, Indore, Madhya Pradesh, India.
authors: Abhishek
authors: A
authors: Songara
keywords: Alpha feto protein; beta-human chorionic gonadotropin; germinomas; radiotherapy; synchronous lesions