Primary Germinoma in the Medulla Oblongata : Case Report
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概要
- 論文の詳細を見る
A 27-year-old woman presented with a case of primary medulla oblongata germinoma manifesting as sleep apnea, aspiration pneumonia, and left hemiparesis. Magnetic resonance (MR) imaging revealed a dorsal mass in the medulla oblongata with heterogeneous enhancement by gadolinium (Gd). Emergent biopsy and foramen magnum decompression with C1 laminectomy were performed because of rapid worsening of her symptoms. The histological diagnosis was germinoma. Subsequently she received chemoradiation therapy with subsequent amelioration of her neurological deficits and disappearance of enhancement on MR imaging with Gd. Primary medulla oblongata germinoma is rare and difficult to diagnose preoperatively. However, correct diagnosis and subsequent adequate chemoradiation therapy is possible by understanding the common characteristics of the disease. Germinoma should be included in the differential diagnosis of midline medullary lesion in young patients, and biopsy should be considered.
- 2011-04-15
著者
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Date Isao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine And Dentistry
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Date Isao
Department Of Neurological Surgery Okayama Graduate School Of Medicine And Dentistry
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Yasuhara Takao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine
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Yasuhara Takao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine And Dentistry
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Yanai Hiroyuki
Department Of Materials Technology Faculty Of Engineering Chiba University
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Miyoshi Yasuyuki
Department Of Neurological Surgery Okayama University Graduate School Of Medicine
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ICHIKAWA Tomotsugu
Department of Neurological Surgery, Okayama University Graduate School of Medicine and Dentistry
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KUROZUMI Kazuhiko
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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MARUO Tomoko
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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Yanai Hiroyuki
Department Of Pathology Okayama University Graduate School Of Medicine Dentistry And Pharmaceutical
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Yasuhara Takao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Maruo Tomoko
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Miyoshi Yasuyuki
Department Of Neurological Surgery Okayama University Graduate School
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Kurozumi Kazuhiko
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Date Isao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Ichikawa Tomotsugu
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Pharmaceutical Sciences
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Ichikawa Tomotsugu
Department Of Neurological Surgery Okayama Graduate School Of Medicine And Dentistry
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