Department of Pathology, Sree Chitra Tirunal Institute of Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India.
Neurol India. 2010 Sep-Oct;58(5):768-70. doi: 10.4103/0028-3886.72190.
Germinoma occurring in the medulla oblongata is extremely rare. We report a case of primary intracranial germinoma arising in the medulla oblongata of a 24-year-old postpartum female who presented with progressive weakness of upper and lower limbs, seventh nerve palsy, and decreased palatal movements. Her MR imaging showed a heterointense mass lesion in the posterior portion of upper medulla, the histology of which was reported as germinoma. Germ cell tumors should be considered in the differential diagnosis of tumors occurring in the brain stem.
延髓生殖细胞瘤极为罕见。我们报告了一例 24 岁产后女性发生于延髓的原发性颅内生殖细胞瘤，其表现为进行性上下肢无力、第七对脑神经麻痹和软腭运动减弱。她的磁共振成像显示在上段延髓后部有一个混杂信号的肿块病变，其组织学报告为生殖细胞瘤。在脑干部位肿瘤的鉴别诊断中，应考虑生殖细胞肿瘤。
