A 19-year-old boy was admitted with complaints of headache and generalized seizure for S months.
On physical examination, he had a moon-face, a fatty breast, no sexual hair, and childish voice.
Neurological examination showed no abnormality except slightly .decreased visual acuity in the left eye.
Lumbar CSF had total 194 leucocytes in a high power field, and among these 95% was lymphocyte.
Marked sellar ballooning was seen in simple skull X-rays.
Both carotid angiogram revealed bilateral A, elevation as tent-like fashion, and subfrontal mass was suspected in lateral view. Transfrontal Conray ventriculography was done, and accidentally tumor cyst was punctured and dark pinkish blood was evacuated
Transcoronal ventriculography was again performed and we knew the cystic subfrontal midline mass.
Tumor mass was nearly removed, and pathological report was germinoma. He was discharged and radiation theraphy was given. He is well for 7 months post-operatively.
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