Delayed intra-tumoural haemorrhage in pineal germinoma: Case report and review

Abstract

<p> <span><span style="font-family:Verdana;">Intraparenchymal haemorrhage in a pineal germi</span><span style="font-family:Verdana;">noma is a very rare, though clinically significant</span><span style="font-family:Verdana;"> event. We report the first case of a significantly delayed intraparenchymal haemorrhage in a pineal germinoma, 14 days after endoscopic third ventriculostomy (ETV), causing precipitous patient deterioration. We discuss potential contributing pathophysiological factors, and seek to illustrate that knowledge of its occurrence, and associated morbidity, is clinically significant in managing pineal germinoma patients with acute deterioration post obstructive hydrocephalus CSF diversion.</span></span> </p