For healthcare professionals only

Minerva Minerva


BMJ 2003; 326 doi: (Published 05 April 2003) Cite this as: BMJ 2003;326:772

An 18 year old woman who had debulking of a suprasellar teratoma at the age of 3 years presented with increasing ataxia, headaches, and right sided weakness. Computed tomography and radiographs of her head showed fully developed teeth in the brain. She underwent a craniotomy and excision of this tumour. Teratomas in the central nervous system are uncommon neoplasms, accounting for only 2% of intracranial tumours in children under 15 years of age. They are histologically subcategorised as germ cell tumours, being classified as mature, immature, and malignant. Mature teratomas can be cured by surgery alone.

S Kuruvath, senior house officer, T Mathew, senior house officer, S Thomson, specialist registrar, N I Phillips, consultant neurological surgeon, G Bonsor, consultant radiologist, Department of Neurosurgery, Leeds General Infirmary, Leeds LS1 3EX

Doctors have little faith in the use of multivitamin or mineral supplements by healthy adults, but some persuasive evidence now supports the supplement believers. A year long study in two primary care clinics in the United States (Annals of Internal Medicine 2003;138:365-71) found that the volunteers who took active supplements had fewer infections and took less sick leave …

View Full Text

Log in

Log in through your institution


* For online subscription