Multiple Germ Cell Tumors Manifesting as Anterior Hypothalamic and Pretectal Syndromes.
- Author:
So Young MOON
1
;
Seong Ho PARK
;
Jeong Min HWANG
;
Minsoo PARK
;
Ji Soo KIM
Author Information
1. Department of Neurology, Seoul National University College of Medicine, Seoul, Korea. jisookim@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Suprasellar;
Pretectal syndrome;
Germ cell tumor
- MeSH:
Diabetes Insipidus, Neurogenic;
Diplopia;
Germ Cells*;
Humans;
Magnetic Resonance Imaging;
Neoplasms, Germ Cell and Embryonal*;
Young Adult
- From:Journal of the Korean Neurological Association
2005;23(2):264-267
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 21-year-old man presented with vertical diplopia and subsequently developed heat-dissipation deficit, central diabetes insipidus, light-near dissociation of the pupillary responses, convergence-retraction nystagmus, and mild upgaze limitation. These were consistent with the anterior hypothalamic and pretectal syndromes. Gadolinum-enhanced MRI revealed lesions, involving the suprasellar and pretectal areas, which were consistent with multiple germ cell tumors. The rare combination of anterior hypothalamic and pretectal syndromes may be manifestation of multiple germ cell tumors and require careful evaluation of these areas using gadolinum-enhanced MRI.
