
Primary conus medullaris germinoma
Author(s) -
Ching-Wei Chang,
Jung Shun Lee,
Hsing Hong Chen
Publication year - 2017
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.4103/fjs.fjs_5_17
Subject(s) - conus medullaris , medicine , surgery , conus , magnetic resonance imaging , radiology , anatomy
Primary intramedullary spinal cord germinoma (PISCG) is very rare, and its preoperative diagnosis is therefore difficult. In addition, its treatment protocols and long-term outcomes are not yet established. Here, we report the case of a patient with a primary conus medullaris germinoma who initially presented with ejaculatory disturbance and coccygeal hypoesthesia. After the total excision of the germinoma and radiotherapy, no tumor recurrence was noted for 22 years. We have also reviewed the distribution of PISCG in spinal segments and its treatment modalities