“…9,17,18 A primary location of germ cell tumors in the spine is very rare and so far has been described in 15 other cases, mostly arising in the dorsolumbar tract; in 12 of these cases, the patients were Japanese. [2][3][4][5][6][7][8][9][11][12][13]15,[19][20][21] Of these cases, only five had a -HCG-secreting component like the one that we have described; 15,20,21 our case is only the second one reported in the literature in which the patient is not Asian. 3 The two patients reported on by Hisa, 5 de Monléon, 3 and their colleagues were young children who presented at diagnosis with features typical of precocious puberty and required medical attention before neurological symptoms appeared.…”