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患者男,18岁。1年前间断性局部发作性抽搐1个月来诊,考虑中枢神经系统脱髓鞘病变,用激素和扩张血管治疗,症状略好转。1年后症状加重左侧肢体活动不便再次来诊。影像学表现1年前MRI示左侧基底节区点片状略长T1长T2信号,FLAIR序列为高信号。1年后MRI示左侧基底节-放射冠区见团块状等长T1、等长T2混合信号影,增强示肿瘤实性部分呈短T1强化信号。病理学诊断:生殖细胞瘤。
Patient male, 18 years old. A year ago intermittent onset of seizures 1 month consultation, consider the demyelinating disease of the central nervous system, with hormones and dilation of blood vessels, the symptoms slightly improved. 1 year later, the symptoms aggravate left limb activity inconvenience to visit again. Imaging findings 1 year ago MRI showed a slightly longer T1 long T2 signal flanking the left basal ganglia area, FLAIR sequence is high signal. MRI showed the left basal ganglia after 1 year - see the same length of T1, equal length T2 mixed signal shadow in the coronal area of the corona radiata, which showed that the solid part of the tumor showed a short T1 enhancement signal. Pathological diagnosis: germ cell tumor.