Suprasellar germinoma: an unusual clinical presentation

A case is described of suprasellar tumor with diabetes insipidus, diminishing visual acuity, inferior bitemporal quadrantanopia, and hypopituitarism in a 19-year-old man. Computerized tomographic scan of the brain after contrast injection demonstrated periventricular enhancement. Diagnosis of germin...

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Bibliographic Details
Published in:	Surgical neurology Vol. 15; no. 4; p. 294
Main Authors:	Dariano, J A, Furlanetto, T W, Costa, S S, Prenna, F J, Santos, A J, Sharer, L R
Format:	Journal Article
Language:	English
Published:	United States 01-04-1981
Subjects:	Adult Brain Neoplasms - complications Brain Neoplasms - diagnosis Brain Neoplasms - radiotherapy Diabetes Insipidus - etiology Diagnosis, Differential Humans Hypopituitarism - etiology Male Pineal Gland Pinealoma - complications Pinealoma - diagnosis Pinealoma - radiotherapy Vision Disorders - etiology
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Summary:	A case is described of suprasellar tumor with diabetes insipidus, diminishing visual acuity, inferior bitemporal quadrantanopia, and hypopituitarism in a 19-year-old man. Computerized tomographic scan of the brain after contrast injection demonstrated periventricular enhancement. Diagnosis of germinoma was made on the basis of clinical and radiographic information and a biopsy that revealed malignant cells. The tumor responded well to radiation therapy. Diagnostic difficulties were created by systemic manifestations unrelated to endocrinopathy. Pertinent literature is reviewed.
ISSN:	0090-3019
DOI:	10.1016/S0090-3019(81)80010-9