Pineal germinoma with intratumoral hemorrhage after neuroendoscopic tumor biopsy

Childs Nerv Syst. 2003 Nov;19(10-11):769-72. doi: 10.1007/s00381-003-0800-7. Epub 2003 Jul 29.

Abstract

Case report: 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.

Discussion: The contributing factors for the acute reduction of intracranial pressure to zero during the endoscopic procedure are discussed.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Adolescent
  • Biopsy / adverse effects
  • Chorionic Gonadotropin, beta Subunit, Human / blood
  • Endoscopy / adverse effects*
  • Germinoma / complications
  • Germinoma / pathology
  • Germinoma / surgery*
  • Hemorrhage / etiology*
  • Hemorrhage / pathology
  • Humans
  • Hydrocephalus / complications
  • Hydrocephalus / surgery
  • Magnetic Resonance Imaging
  • Male
  • Pinealoma / complications
  • Pinealoma / pathology
  • Pinealoma / surgery*
  • Tomography, X-Ray Computed
  • alpha-Fetoproteins / metabolism

Substances

  • Chorionic Gonadotropin, beta Subunit, Human
  • alpha-Fetoproteins