Hypothalamic hamartoma secreting corticotropin-releasing hormone: Case report

Jean Marc Voyadzis, Ines Guttmann-Bauman, Mariarita Santi, Philip Cogen

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The authors describe a unique case of a 2-year-old boy with a hypothalamic hamartoma secreting corticotropin-releasing hormone (CRH). The patient presented with a history of behavioral disturbances progressing over 12 months. His neurological status was intact. Magnetic resonance imaging demonstrated a 1.8 x 1.6 x 1.2-cm isointense, nonenhancing hypothalamic lesion. Endocrinological workup revealed elevated serum CRH and adrenocorticotropic hormone levels, nonsuppression with low-dose dexamethasone, and partial suppression with high-dose dexamethasone. He underwent tumor resection via a right frontotemporal craniotomy. Pathological examination of the tissue confirmed a hypothalamic hamartoma with CRH immunostaining. Postoperatively, his hormone levels normalized and his behavioral disturbances abated. The radiographic and clinical characteristics of hypothalamic hamartomas are reviewed and therapeutic considerations discussed.

Original languageEnglish (US)
Pages (from-to)212-216
Number of pages5
JournalJournal of Neurosurgery
Volume100
Issue number2 SUPPL.
StatePublished - Feb 2004
Externally publishedYes

Fingerprint

Corticotropin-Releasing Hormone
Dexamethasone
Craniotomy
Adrenocorticotropic Hormone
Magnetic Resonance Imaging
Hormones
Serum
Hypothalamic hamartomas
Neoplasms
Therapeutics

Keywords

  • Corticotropin-releasing hormone
  • Cushing disease
  • Endocrinology
  • Hamartoma
  • Hypothalamus
  • Pediatric neurosurgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Hypothalamic hamartoma secreting corticotropin-releasing hormone : Case report. / Voyadzis, Jean Marc; Guttmann-Bauman, Ines; Santi, Mariarita; Cogen, Philip.

In: Journal of Neurosurgery, Vol. 100, No. 2 SUPPL., 02.2004, p. 212-216.

Research output: Contribution to journalArticle

Voyadzis, JM, Guttmann-Bauman, I, Santi, M & Cogen, P 2004, 'Hypothalamic hamartoma secreting corticotropin-releasing hormone: Case report', Journal of Neurosurgery, vol. 100, no. 2 SUPPL., pp. 212-216.
Voyadzis, Jean Marc ; Guttmann-Bauman, Ines ; Santi, Mariarita ; Cogen, Philip. / Hypothalamic hamartoma secreting corticotropin-releasing hormone : Case report. In: Journal of Neurosurgery. 2004 ; Vol. 100, No. 2 SUPPL. pp. 212-216.
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