Summary
An unusual association of poikilothermia and a germinoma originating in the left basal ganglia is described in a 17-year-old female. The tumour was found extending into the hypothalamic structures. Following irradiation therapy, the patient gradually regained her regulation of body temperature.
Similar content being viewed by others
References
Aguzzi A, Hedinger CE, Kleihues P, Yasargil MG (1988) Intracranial mixed germ cell tumour with syncytiotrophoblastic giant cells and precocious puberty. Acta Neuropathol 75: 427–431
Anno Y, Hori T, Watanabe T, Takenobu A, Takigawa H, Kishimoto M, Tanaka J (1990) Germinoma originating in the basal ganglia. Report of a case showing unusual appearance on MRI. Neuroradiology 32: 529–530
Bernheim HA, Block LH, Atkins E (1979) Fever: pathogenesis, pathophysiology, and purpose. Intern Med 91: 261–270
Brodal A (1981) Neurological anatomy. In relation to clinical medicine. Oxford Univ Press, Oxford, pp 750–751
Chang T, Teng MMH, Guo W-Y, Sheng W-C (1989) CT of pineal tumours and intracranial germ-cell tumours. AJNR 10: 1039–1044
Fujieda K, Matsuura N, Mikami Y, Harada S, Yuri K, Okuno A, Hosoda A, Aida T (1988) Endocrine function and growth in children with CNS tumours-with special emphasis on germinoma. Acta Pediatrica Jpn 30 [Suppl]: 61–67
Greenwood J Jr (1973) Radical surgery of tumours of the thalamus, hypothalamus, and third ventricle area. Surg Neurol 1: 29–33
Hirotsu T, Ohta H, Maekawa K, Tada S, Yamaguchi Y (1987) A case of intracranial germ cell tumour with slowly progressive course and ipsilateral cerebral hemiatrophy. Jikei Med J 102: 1861–1869 (Japanese)
Hoshino N (1953) Ectopic pinealoma. Report of three cases. Arch Jpn Chir 22: 145–147 (Japanese)
Jennings MT, Gelma R, Hochberg F (1985) Intracranial germcell tumours: natural history and pathogenesis. J Neurosurg 63: 155–167
Kida Y, Kobayashi T, Yoshida J, Kato K, Kageyama N (1986) Chemotherapy with cisplatin for AFP-secreting germ-cell tumours of the central nervous system. J Neurosurg 65: 470–475
Kobayashi H, Yamada H, Sakai N, Andoh T, Shinoda J (1990) Germ cell tumour arising in the basal ganglia in a female. Case report. Neurol Med Chir (Tokyo) 30: 123–126
Kobayashi T, Kageyama N, Kida Y, Yoshida J, Shibuya N, Okamura K (1981) Unilateral germinomas involving the basal ganglia and thalamus. J Neurosurg 55: 55–62
Kobayashi T, Yoshida J, Ishiyama J, Noda S, Kito A, Kida Y (1989) Combination chemotherapy with cisplatin and etoposide for malignant intracranial germ-cell tumours. J Neurosurg 70: 676–681
Komatsu Y, Narushima K, Kobayashi E, Ebihara R, Enomoto T, Nose T, Maki Y (1989) CT and MR of germinoma in the basal ganglia. AJNR 10 S9-S11
Kwak R, Saso S, Suzuki J (1978) Ipsilateral cerebral atrophy with thalamic tumour of childhood. J Neurosurg 48: 443–449
Maeda Y, Mabuchi E, Koyama T, Kano M, Arita N (1990) A case of embryonal carcinoma arising in the basal ganglia of the cerebrum. Neurol Surg (Tokyo) 18: 675–680 (Japanese)
Maehara T, Machida T, Tsuchiya K, Iio M (1983) Brain tumours with ipsilateral cerebral hemiatrophy. AJNR 4: 478–480
Martin JB, Cooper PE (1983) Neuroendocrinologic diseases. In: Rosenberg RN (ed) Clinical neurosciences, Vol 1. Churchill Livingstone, New York, pp 723–724
Matsumoto K, Ohta K, Matsumoto A (1971) A case of large thalamic tumour (pinealoma) with dystonic movement of unilateral limbs. Clin Neurol (Tokyo) 11: 373–379 (Japanese)
Matsumoto K, Onoda K, Tsuno K, Shigematsu H, Matsuhisa T, Maeshiro T, Mishima N, Furuta T, Nishimoto A (1991) Basal ganglia germinoma treated with interstitial brachytherapy: case report. Neurol Surg (Tokyo) 19: 985–989 (Japanese)
Nishiyama K, Nakano S (1956) A case of ectopic pinealoma. Brain Nerve (Tokyo) 8: 741 (Japanese)
Ono N, Inoue HK, Naganuma H, Misuimi S, Tamura M (1986) Germ cell tumour in the basal ganglia: immunohistochemical demonstration of α-fetoprotein, human chorionic gonadotropin, and carcinoemryponic antigen. Surg Neurol 25: 495–500
Ono N, Inoue HK, Naganuma H, Kunimine H, Zama A, Tamura M (1986) Diagnosis of germinal neoplasm in the thalamus and basal ganglia. Surg Neurol 26: 24–28
Saito M, Tamaki N, Matsumoto S (abstract) (1990) Germ cell tumours in the basal ganglia. A report of three cases. Neurol Med Chir: 30 Suppl: 132
Shinoda J, Miwa Y, Sakai N, Yamade H, Shima H, Kato K, Takahashi M, Shimokawa K (1985) Immunohistochemical study of placental alkaline phosphatase in primary intracranial germ-cell tumours. J Neurosurg 63: 733–739
Shokry A, Janzer RC, Von Hochstetter AR, Yasargil MG, Hedinger C (1985) Primmary intracranial germ-cell tumours. A clinicopathological study of 14 cases. J Neurosurg 62: 826–830
Soejima T, Takeshita I, Yamamoto H, Tsukamoto Y, Fukui M, Matsuoka S (1987) Computed tomography of germinomas in basal ganglia and thalamus. Neuroradiology 29: 366–370
Suzuki J, Kowada M, Ouchi N, Narita A, (1961) A case of ectopic pinealoma diffusely infiltrated to left thalamic region with successful total extirpation. Brain Nerve (Tokyo) 13: 615–620 (Japanese)
Tamaki N, Lin T, Shirataki K, Hosoda K, Kurata H, Matsumoto S, Ito H (1990) Germ cell tumours of the thalamus and the basal ganglia. Childs Nerv Syst 6: 3–7
Tanaka R, Ueki K (1979) Germinomas in the cerebral hemisphere. Surg Neurol 12: 239–241
Toyama I, Fukuyama H, Akiguchi I, Shio H, Kameyama M (1983) Germinoma involving the basal ganglia diagnosed by CSF cytology. A case report. Neurol Med (Tokyo) 19: 63–70 (Japanese)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakasu, Y., Takeichi, T., Takayama, S. et al. Poikilothermia in a female patient with a germinoma in the basal ganglia. Acta neurochir 120, 190–192 (1993). https://doi.org/10.1007/BF02112041
Issue Date:
DOI: https://doi.org/10.1007/BF02112041