Case Report
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Malnutrition Despite Adequate Nutrient Intake: A Clue For Diencephalic Syndrome

Year 2022, , 621 - 623, 29.10.2022
https://doi.org/10.54005/geneltip.1122008

Abstract

Diencephalic syndrome is characterized by excessive weight loss and subcutaneous fatty tissue loss, hyperactivity, euphoria, and hypervigilance observed in early childhood. It usually accompanies space-occupying neoplastic lesions of the hypothalamic–optochiasmatic region. There is an inverse relationship between mass size and weight gain. In this case report, a patient aged 1 year and 2 months with hypothalamic–optochiasmatic glioma was presented. We aimed to draw attention to diencephalic syndrome, which is a rare cause of weight gain and vomiting.

References

  • Chheda E, Vora S, Prasad M. Nutritional management of diencephalic syndrome: a case series. Neurol India. 2021;69(2):524-5.
  • Işık U, Kuter Yılancıoğlu Ş, Eryılmaz S, Canpolat C. Aşırı Kilo Kaybının Nadir Bir Nedeni: Diensefalik Sendromlu Üç Olgu. 2017.
  • Salmon MA. Russell's diencephalic syndrome of early childhood. J Neurol Neurosurg Psychiatry. 1972;35(2):196-201.
  • Ly KI, Blakeley JO. The diagnosis and management of neurofibromatosis type 1. Medical Clinics. 2019;103(6):1035-54.
  • Campen CJ, Gutmann DH. Optic pathway gliomas in neurofibromatosis type 1. Journal of Child Neurology. 2018;33(1):73-81.
  • Cavicchiolo ME, Opocher E, Daverio M, Bendini M, Viscardi E, Bisogno G, et al. Diencephalic syndrome as sign of tumor progression in a child with neurofibromatosis type 1 and optic pathway glioma: a case report. Childs Nerv Syst. 2013;29(10):1941-5.,
  • Kim A, Moon JS, Yang HR, Chang JY, Ko JS, Seo JK. Diencephalic syndrome: a frequently neglected cause of failure to thrive in infants. Korean J Pediatr. 2015;58(1):28-32.
  • Gianotti L, Pincelli AI, Scacchi M, Rolla M, Bellitti D, Arvat E, et al. Effects of recombinant human insulin-like growth factor I administration on spontaneous and growth hormone (GH)-releasing hormone-stimulated GH secretion in anorexia nervosa. The Journal of Clinical Endocrinology & Metabolism. 2000;85(8):2805-9.
  • Pimstone BL, Sobel J, Meyer E, Eale D. Secretion of growth hormone in the diencephalic syndrome of childhood. J Pediatr. 1970;76(6):886-9.
  • Fleischman A, Brue C, Poussaint TY, Kieran M, Pomeroy SL, Goumnerova L, et al. Diencephalic syndrome: a cause of failure to thrive and a model of partial growth hormone resistance. Pediatrics. 2005;115(6):e742-8.
Year 2022, , 621 - 623, 29.10.2022
https://doi.org/10.54005/geneltip.1122008

Abstract

References

  • Chheda E, Vora S, Prasad M. Nutritional management of diencephalic syndrome: a case series. Neurol India. 2021;69(2):524-5.
  • Işık U, Kuter Yılancıoğlu Ş, Eryılmaz S, Canpolat C. Aşırı Kilo Kaybının Nadir Bir Nedeni: Diensefalik Sendromlu Üç Olgu. 2017.
  • Salmon MA. Russell's diencephalic syndrome of early childhood. J Neurol Neurosurg Psychiatry. 1972;35(2):196-201.
  • Ly KI, Blakeley JO. The diagnosis and management of neurofibromatosis type 1. Medical Clinics. 2019;103(6):1035-54.
  • Campen CJ, Gutmann DH. Optic pathway gliomas in neurofibromatosis type 1. Journal of Child Neurology. 2018;33(1):73-81.
  • Cavicchiolo ME, Opocher E, Daverio M, Bendini M, Viscardi E, Bisogno G, et al. Diencephalic syndrome as sign of tumor progression in a child with neurofibromatosis type 1 and optic pathway glioma: a case report. Childs Nerv Syst. 2013;29(10):1941-5.,
  • Kim A, Moon JS, Yang HR, Chang JY, Ko JS, Seo JK. Diencephalic syndrome: a frequently neglected cause of failure to thrive in infants. Korean J Pediatr. 2015;58(1):28-32.
  • Gianotti L, Pincelli AI, Scacchi M, Rolla M, Bellitti D, Arvat E, et al. Effects of recombinant human insulin-like growth factor I administration on spontaneous and growth hormone (GH)-releasing hormone-stimulated GH secretion in anorexia nervosa. The Journal of Clinical Endocrinology & Metabolism. 2000;85(8):2805-9.
  • Pimstone BL, Sobel J, Meyer E, Eale D. Secretion of growth hormone in the diencephalic syndrome of childhood. J Pediatr. 1970;76(6):886-9.
  • Fleischman A, Brue C, Poussaint TY, Kieran M, Pomeroy SL, Goumnerova L, et al. Diencephalic syndrome: a cause of failure to thrive and a model of partial growth hormone resistance. Pediatrics. 2005;115(6):e742-8.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Anna Carina Ergani 0000-0003-3494-1581

Ayşe Kartal 0000-0002-6964-4387

Fuat Buğrul 0000-0002-2276-4410

Mert Şahinoğlu 0000-0003-0633-8304

Meltem Gümüş 0000-0002-9257-6597

Hakan Karabağlı 0000-0002-1184-3965

Halil Haldun Emiroğlu 0000-0002-1635-1150

Publication Date October 29, 2022
Submission Date May 26, 2022
Published in Issue Year 2022

Cite

Vancouver Ergani AC, Kartal A, Buğrul F, Şahinoğlu M, Gümüş M, Karabağlı H, Emiroğlu HH. Malnutrition Despite Adequate Nutrient Intake: A Clue For Diencephalic Syndrome. Genel Tıp Derg. 2022;32(5):621-3.