Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Wen-Ta Chiu
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------>journal_name=Bulletin of the Neurological Society (Taiwan).
------>paper_name=Craniopharyngioma - An Analysis of 54 Cases.
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------>fullAbstract=OBJECTIVE AND IMPORTANCE: Diencephalic syndrome of emaciation (DS) is seen almost exclusively in infants and young children, and only two cases of DS in adults have been reported previously. We describe a case of DS associated with a third ventricle intrinsic craniopharyngioma in an adult patient. CLINICAL PRESENTATION: A 54-year-old man presented with profound emaciation, disorientation, memory loss, and psychological disorders. Computed tomographic scanning and magnetic resonance imaging of his brain disclosed a tumor within the third ventricle. The preoperative endocrinological examination indicated an elevated growth hormone level and a decreased somatomedin C level. INTERVENTION: The patient underwent partial resection of the tumor, which was adherent to the floor of the third ventricle but not to the ventricle wall, by an interhemispheric-transcallosal approach. The histological examination revealed a squamous papillary-type craniopharyngioma. The patient received 50 Gy of radiotherapy, which resulted in 90 to 95% reduction of the tumor size within 6 months, as indicated by the magnetic resonance images presented. The psychological disorders, memory disturbance, and severe emaciation improved gradually thereafter. CONCLUSION: Although extremely rare, DS can occur in an adult harboring a tumor in the anterior hypothalamus.
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------>authors2=Chun-Jen Shih
------>authors3=Chuan-Kai Tsou
------>authors4=Yeou-Chih Wang
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------>authors=Wen-Ta Chiu
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------>updateTitle=Diencephalic syndrome of emaciation in an adult associated with a third ventricle intrinsic craniopharyngioma: case report.
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z