Pineal germinoma

Case contributed by Frank Gaillard
Diagnosis almost certain


Headaches and up-gaze palsy.

Patient Data

Age: Child

MRI brain


A large enhancing mass is centered on the pineal region. It is heterogeneous with areas of cystic change. There is marked compression of the tectum with resulting obstructive hydrocephalus. A little surrounding edema is also present. 

Case Discussion

This case illustrates a case of biopsy proven pineal germinoma. 

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