Primary Germinoma of Spinal Cord A Case Report and Review of Literature.

Germinomas are the most common variety of germ cell tumors that originate in the central nervous system, and they occur usually in the intracranial midline location such as the pineal gland or suprasellar cistern. In contrast, intramedullary spinal cord germinoma is rare.We report a case of intramedullary spinal cord germinoma with pain in the left lower extremity and urinary retention in an 11-year-old girl. MRI showed the presence of an intramedullary mass between the L1 and L2 vertebrae. We performed a L1-L2 laminectomy and resected this tumor from the spinal cord. We also gave the patient 50 Gy of postoperative radiation at the tumor site, after which the symptoms disappeared.The patient remains disease-free 13 months after treatment.