Pineal germinoma with intratumoral hemorrhage after neuroendoscopic tumor biopsy
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Updated: Aug 30, 2026
Endoscopic Third Ventriculostomy and Pineal Biopsy from a Single Entry Point
Published on: June 28, 2024
Tai-Tong Wong1, Sang-Hue Yen, Donald M Ho
1Division of Pediatric Neurosurgery, Neurological Institute, Taipei Veterans General Hospital and National Yang Ming University School of Medicine, Taiwan, Republic of China. ttwong@vghtpe.gov.tw
Case Report:
We report an intratumoral hemorrhage immediately after a ventricular endoscopic procedure in an 18-year-old man who had a pineal germinoma with symptomatic hydrocephalus. The patient was successfully treated using long tract external ventricular drainage and urgent radiation therapy.
Discussion:
The contributing factors for the acute reduction of intracranial pressure to zero during the endoscopic procedure are discussed.
