case_images: PMC3041761_01
case_images: Contrast-enhanced MRI showing multiple enhanced lesions in the third ventricle, pineal region, and fourth ventricle (upper).
case_images: 1752-1947-5-39-1.jpg
case_images: PMC3041761_01_1752-1947-5-39-1.jpg
case_images: F1
case_images: Following magnetic resonance imaging (MRI), she was found to have a massive lesion in the third ventricle and small lesions in the pineal region, fourth ventricle, and in the anterior horn of the left lateral ventricle (Figure 1).
case_images: Pathological findings: A hematoxylin and eosin stain demonstrating a biphasic cell population of lymphocytes with admixed large cells (left), in which a placental alkaline phosphatase stain highlights the germinoma cells (right).
case_images: 1752-1947-5-39-2.jpg
case_images: PMC3041761_01_1752-1947-5-39-2.jpg
case_images: F2
case_images: She underwent radiation treatment to the whole brain and spine after confirmation of the pathological diagnosis (Figure 2).
case_images: Post-radiotherapy MRI demonstrating a complete remission of the germinoma lesions.
case_images: 1752-1947-5-39-3.jpg
case_images: PMC3041761_01_1752-1947-5-39-3.jpg
case_images: F3
case_images: Although she suffered memory impairment, she went into a complete remission following the radiation therapy (Figure 3).