Germinoma
Presentation:
Increasing headache and visual symptoms.
Patient Data:
A large lobulated mass is centered on the pineal gland, engulfing the pineal calcifiation. It is somewhat hyperdense compared to adjacent brain. A further smaller mass is seen in the floor of the third ventricle. The midbrain is distorted, compressed and demonstrates low density suggestive of oedema. Obstructive hydrocephalus is present.
Case Discussion:
Path proven germinoma

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