Neurohypophyseal germinoma with metastasis to the spine

Germinomas spread readily through the subarachnoid space and involve the spinal meninges and infiltrate directly into the surrounding structures. Intracranial germinomas are highly susceptible to irradiation and chemotherapy and are potentially curable. Therefore we hope to highlight the importance of differentiating germinoma from other midline sellar-suprasellar intracranial tumours and one should be more diligent in looking for possible spinal dissemination at presentation and during follow-up.