ROHHAD Syndrome: The Girl who Forgets to Breathe.

Background: ROHHAD syndrome is an exceedingly rare cause of central hypoventilation. Case characteristics: A 7-year-old girl with ROHHAD syndrome who had central hypoventilation, rapid weight gain, multiple cardiac arrests and hyperprolactinemia. Outcome: She required prolonged and repeated ventilation, and finally died due to complications of ventilation. Message: ROHHAD Syndrome should be suspected in any child who presents with obesity, behavioral changes or autonomic instability following a neural crest tumor.