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下丘脑星形细胞瘤。表现为摄食过多、肥胖以及行为、内分泌和自主神经功能紊乱的综合征。

Hypothalamic astrocytoma. Syndrome of hyperphagia, obesity, and disturbances of behavior and endocrine and autonomic function.

作者信息

Haugh R M, Markesbery W R

出版信息

Arch Neurol. 1983 Sep;40(9):560-3. doi: 10.1001/archneur.1983.04050080060011.

DOI:10.1001/archneur.1983.04050080060011
PMID:6577819
Abstract

A 26-year-old woman had hyperphagia, obesity, aggressive behavior, visual hallucinations, reversal of wake-sleep patterns, hypothermia, hypothyroidism, and amenorrhea. She died of pancreatitis, probably secondary to hypothermia. Autopsy revealed a low-grade astrocytoma in the third ventricle and medial anterior and mid hypothalamus, primarily on the right. Although she exhibited thyroid and ovarian hypofunction, the patient had intact median eminence and pituitary function, suggesting end-organ failure, possibly of an autoimmune nature.

摘要

一名26岁女性出现食欲亢进、肥胖、攻击性行为、视幻觉、睡眠-清醒模式颠倒、体温过低、甲状腺功能减退和闭经。她死于胰腺炎,可能继发于体温过低。尸检发现第三脑室以及下丘脑前部内侧和中部有一个低度星形细胞瘤,主要位于右侧。尽管该患者表现出甲状腺和卵巢功能减退,但正中隆起和垂体功能完好,提示可能是自身免疫性的终末器官衰竭。

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