Tokoro K, Chiba Y, Murase S, Yagishita S, Kyuma Y
Department of Neurosurgery, Kanagawa Rehabilitation Center.
Neurol Med Chir (Tokyo). 1991 Nov;31(11):725-8. doi: 10.2176/nmc.31.725.
A 22-year-old female developed intracranial and spinal subarachnoid metastases 9 years after radiation therapy for a pineal germinoma. Computed tomographic scans showed no evidence of local recurrence. Cerebrospinal axis irradiation achieved total remission. Delayed subarachnoid dissemination may be caused by germinoma cells remaining dormant in the subarachnoid space, outside the radiation field.
