Germinoma involving bilateral basal ganglia: A rare case report

Jang Chun Lin, Da Tong Ju, Chang Min Chen, Hsing Lung Chao, Chun Shun Lin, Yee Min Jen

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Germinoma that occurs to the bilateral basal ganglia is exceedingly rare. The diagnosis can be diffi cult because of nonspecific c clinical presentation and ill-defi ned abnormalities without a defi nite tumor mass on neuroimaging. Here, we presented a 24-year-old male who suffered from bizarre behavior and affective disturbance. At emergency room, the psychiatrist was consulted to evaluate his psychiatric abnormalities. Computed topography (CT) scan of brain revealed several cystic lesions with rim-like enhancement involving bilateral basal ganglia. Magnetic resonance (MR) imaging of brain showed multiple cystic lesions with irregular rim-like enhancement involving bilateral basal ganglia. Accordingly, stereotactic aspiration biopsy was performed by neurological surgeon, and pathological result revealed bilateral germinoma of basal ganglia. Then, the patient received chemotherapy followed by craniospinal irradiation. After craniospinal irradiation, MR imaging of brain was performed again, which showed complete regression. In conclusion, when the patient presented with bizarre behavior and affective disturbance with lesion located in basal ganglia, the differential diagnosis of germinoma should be considered.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalJournal of Medical Sciences
Volume32
Issue number1
Publication statusPublished - Mar 14 2012
Externally publishedYes

    Fingerprint

Keywords

  • Basal ganglia
  • Bilateral germinoma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lin, J. C., Ju, D. T., Chen, C. M., Chao, H. L., Lin, C. S., & Jen, Y. M. (2012). Germinoma involving bilateral basal ganglia: A rare case report. Journal of Medical Sciences, 32(1), 43-46.