Van Lierde L, Clapuyt P, Nassogne M C, Oriot Philippe
Universite Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium
Department of Radiology, Universite Catholique de Louvain, Saint-Luc, Brussels, Belgium
Endocr Regul. 2017 Oct 26;51(4):216-219. doi: 10.1515/enr-2017-0023.
Cerebral germinoma is rare. Although the imaging of the germinoma is very evocative, it's very polymorphic clinical expression is at the origin of misguided diagnosis, as illustrated in our case. We report the case of a 10-year-old girl with diabetes insipidus evolving for 12 months associated with a decrease in visual acuity. Brain MRI (Magnetic Resonance Imaging) revealed a tumor process in the suprasellar region. The stereotaxic biopsy of the tumor confirmed the diagnosis of the hypothalamic germinoma, which allowed the patient to be treated by radiotherapy and chemotherapy. The incidence of cerebral germinoma, its clinical (principally diabetes insipidus) and radiological features as well as therapeutic strategies are discussed hereby.
