A Rare Case of Intra-Fourth-Ventricular Germinoma, Derived from the Medulla Oblongata

التفاصيل البيبلوغرافية
العنوان: A Rare Case of Intra-Fourth-Ventricular Germinoma, Derived from the Medulla Oblongata
المؤلفون: Nguyen Minh Duc, Pham Minh Thong
المصدر: Pediatric Neurosurgery. 55:426-431
بيانات النشر: S. Karger AG, 2020.
سنة النشر: 2020
مصطلحات موضوعية: medicine.medical_specialty, Extragonadal, Germinoma, business.industry, Supratentorial region, General Medicine, medicine.disease, Fourth ventricle, Hydrocephalus, medicine.anatomical_structure, Pediatrics, Perinatology and Child Health, Rare case, Medulla oblongata, Medicine, Surgery, Neurology (clinical), Radiology, business, Calcification
الوصف: Introduction: Extragonadal germinomas rarely emerge from the brain stem; however, proper diagnosis and treatment can result in favorable prognosis. Unfortunately, the preoperative diagnosis of medulla oblongata germinoma is difficult due to insufficient clinical signs and symptoms that are specific to this diagnosis. Case Representation: We present a 12-year-old male patient with an intra-fourth-ventricular germinoma, derived from the medulla oblongata, with no abnormalities in the supratentorial region. The germinoma was initially assessed by advance MRI sequences, including diffusion-weighted imaging, T1 perfusion, and spectroscopy. Conclusion: In summary, although existing imaging technologies cannot completely distinguish germinomas from other primary brain neoplasms in the fourth ventricle, in patients aged between 12 and 40 years, a small mass on the dorsal side of medulla oblongata that emerges into the fourth ventricle and is characterized by homogeneous contrast enhancement, the absence of calcification and hemorrhage, and the lack of hydrocephalus should be considered for a potential medulla oblongata germinoma diagnosis.
تدمد: 1423-0305
1016-2291
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::f1c6dc6381a54cad0e3bcb49d720b218Test
https://doi.org/10.1159/000512345Test
حقوق: CLOSED
رقم الانضمام: edsair.doi...........f1c6dc6381a54cad0e3bcb49d720b218
قاعدة البيانات: OpenAIRE