{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:09:59Z","timestamp":1785726599630,"version":"3.56.0"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T00:00:00Z","timestamp":1492992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Patients with brain tumors often report having visual complaints. This may be due to increased intracranial pressure, compression\/invasion of the optic pathway or diplopia. We assessed the incidence and the etiology of visual symptoms in patients with intracranial germinoma tumors (ICGTs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Materials<\/jats:title><jats:p>We performed a blinded retrospective review of the clinical charts and the initial magnetic resonance imaging (MRI) of 28 patients with ICGT. Thirteen tumors were pineal, five suprasellar, seven bifocal, and further three involved either the optic nerve, the corpus callosum, or the brainstem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients reported visual disturbances, seven of whom mainly experienced a decrease in vision. Two of those were initially managed as \u201cretrobulbar neuritis\u201d when endocrinologic symptoms prompted assessment by MRI. Involvement of the optic pathway was underestimated, and both relapsed. Field deficits were definitive sequelae, whereas visual acuity was sometimes regressive in the absence of optic atrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compression or invasion of the optic pathway by germinomas is not a rare occurrence, and this possibility should not be overlooked when thickening or contrast enhancement is detected. Radiotherapy fields should be extended accordingly.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.26543","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T12:25:38Z","timestamp":1493036738000},"source":"Crossref","is-referenced-by-count":16,"title":["Visual complaints in intracranial germinomas"],"prefix":"10.1002","volume":"64","author":[{"given":"Didier","family":"Frappaz","sequence":"first","affiliation":[{"name":"Department of Oncology Institut d'H\u00e9matologie et d'Oncologie P\u00e9diatrique  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Pedone","sequence":"additional","affiliation":[{"name":"Department of Oncology Institut d'H\u00e9matologie et d'Oncologie P\u00e9diatrique  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Thiesse","sequence":"additional","affiliation":[{"name":"Department of Radiology Institut d'H\u00e9matologie et d'Oncologie P\u00e9diatrique, Centre L\u00e9on B\u00e9rard  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru","family":"Szathmari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Hospital Wertheimer  Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile Faure","family":"Conter","sequence":"additional","affiliation":[{"name":"Department of Oncology Institut d'H\u00e9matologie et d'Oncologie P\u00e9diatrique  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine","family":"Mottolese","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Hospital Wertheimer  Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Carrie","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy Institut d'H\u00e9matologie et d'Oncologie P\u00e9diatrique, Centre L\u00e9on B\u00e9rard  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.90.2.0258"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.63.2.0155"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminoncol.2004.07.010"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-001-0752-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e31819aacbb"},{"key":"e_1_2_8_7_1","first-page":"95","article-title":"Germinoma of the optic nerve: case report","volume":"13","author":"Iizuka H","year":"1996","journal-title":"Noshuyo Byori"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11060-009-9941-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2004.02.006"},{"key":"e_1_2_8_10_1","first-page":"239","article-title":"Pineal germinoma with unilateral blindness. 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