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KMID : 0359819750040020395
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Journal of Korean Neurosurgical Society
1975 Volume.4 No. 2 p.395 ~ p.400
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A case of suprasellar germinoma metastasized to the epidural space of the lumbar spinal canal
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Abstract
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We have experienced a case of suprasellar germinoma metastasized to the´ lumbar spinal canal, A 22-year-old man was admitted to St. Mary´s Hospital in May, 1975 with complaints of low back pain, progressive weakness of both lower extremities and voiding difficulty for about one month.. About 7 months ago he received craniotomy and irradiation therapy for suprasellar germinoma.
Neurological examination revealed foot drop on the left side with sensory change and atonic neurogenic bladder. Pantopaque myelogram showed a total block at the level of the 3rd lumbar vertebra suggestive an epidural mass compressing dural sac posterolaterally.
Total laminectomy of lumbar first to fifth vertebrae disclosed a firm, rubbery hard and vascular mass- in the epidural space, which was not adherent to the dura. histological examination of the tumor revealed. typical germinoma.
Pathogenesis of geminoma and possible mode of epidural metastais are discussed.
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KEYWORD
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