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CC BY 4.0 · Indian Journal of Neurosurgery 2025; 14(02): 191-193
DOI: 10.1055/s-0043-1768586
Clinical Images

Exponential Increase in Size of Pineal Region Teratoma in Short Duration following Ventriculoperitoneal Shunt

Authors

  • Niraj Ghimire

    1   Department of Neurosurgery, Nepalgunj Medical College, Chisapani, Nepal

  • Wajid Nazir Wani 

    2   Department of Neurosurgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India

  • Anita Jagetia

    2   Department of Neurosurgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India

  • Daljit Singh

    2   Department of Neurosurgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India
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Abstract

A 4-year-old male child presented with complaints of generalized tonic–clonic seizures for one and half years. Magnetic resonance imaging brain was suggestive of pineal region germ cell tumor with obstructive hydrocephalus. Patient had exponential increase in size of lesion following ventriculoperitoneal shunt for which patient underwent emergency craniotomy and tumor excision. Postoperative biopsy showed immature teratoma. Early diagnosis and complete resection of intracranial immature teratoma are must to have a favorable outcome, as delay in surgery may cause resection of tumor incomplete due to rapid increase in size of tumor following cerebrospinal fluid diversion.

Keywords

immature teratoma - pineal region mass - ventriculoperitoneal shunt


Publikationsverlauf

Artikel online veröffentlicht:
25. Juni 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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