Journal of Clinical Case Reports

Department of Medicine, Aga Khan University Hospital and Medical College, Pakistan

Publications

• Case Report   
  Co-Existence of Pineal Germinoma and Quasi-Moyamoya Disease: A Case Report and Review of Literature
  Author(s): Rida Mitha*
  
  Background: The coincidence of Moyamoya along with pineal germinoma is not reported in the literature. Case description: We report an unusual presentation of a 19-year-old young man diagnosed with pineal gland germinoma and Moyamoya syndrome. He presented with Parinaud’s syndrome, with radiological investigations (CT and MRI scans) showing pineal gland enhancing lesion causing obstructive hydrocephalus. Endoscopic third ventriculostomy along with lesion debulking yielded a diagnosis of pineal germinoma. Postoperatively he developed bilateral middle cerebral artery territory infarcts and became aphasic with left hemiparesis. Computed Tomography (CT) angiography revealed bilateral Moyamoya vasculopathy. Two months post-operatively he developed spontaneous left frontal lobe hemorrhage with intraventricular extension; emergent external ventri.. Read More»
  

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