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arch implications for risk stratification. Intracranial germ cell tumors (GCTs) predominantly occur in the adolescent and young adult population and are most frequently located at the pineal gland. Tumor masses in the pineal region may cause ophthalmic symptoms due to compression to the midbrain, frequently presenting with Parinaud syndrome and hydrocephalus due to aqueductal compression. We conducted a single-institution cohort study of primary, pineal region GCTs to characterize the clinical presentation, as well as associated ophtha
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