ABSTRACT
A 10-month-old boy with the clinical features of the diencephalic syndrome of emaciation due to a suprasellar spongioblastoma is described. The patient showed high basal levels of growth hormone (GH greater than 80 muU/ml on several occasions). In addition, elevated concentration of plasma testosterone (125.5 ng/100ml) was combined with a relatively high LH-increase to LHRH (45.6 mU/ml). After completion of irradiation basal GH-levels had been normalized, and GH responses to insulin induced hypoglycemia (IIH) and propranolol-glucagon (PG) were adequate. Complete clinical remission of emaciation occurred soon after radiation therapy and went parallel with the normalization of GH-regulation.
Subject(s)
Astrocytoma/physiopathology , Brain Neoplasms/physiopathology , Emaciation/physiopathology , Hypothalamus/physiopathology , Blood Glucose/analysis , Brain Neoplasms/blood , Emaciation/blood , Emaciation/therapy , Follicle Stimulating Hormone/blood , Growth Hormone/blood , Humans , Hydrocortisone/blood , Infant , Luteinizing Hormone/blood , Male , Pituitary Gland, Anterior/physiopathology , Prolactin/blood , Syndrome , Testosterone/blood , Thyroid Hormones/bloodABSTRACT
Symptoms clinical course, and also statistical data are recroded for a 60-year-old man with a chronic epidural abscess in the lumbar vertebrae 3/4 following a lumbar puncture. Acute and chronic epidural intraspinal abscesses are discussed in relation to the relevant literature.
Subject(s)
Abscess/etiology , Spinal Cord Diseases/etiology , Spinal Puncture/adverse effects , Chronic Disease , Humans , Male , Middle AgedABSTRACT
The clinical presentation together with macroscopic and microscopic findings in a case of epidural fronto-parasagittal hemangiopericytoma occurring in a 59 years old female are reported. Pathogenesis, clinical and macroscopic findings, and microscopicaspects of this tumor aspected with the angioblastic (angiomatous) meningioma are discussed. The relevant literature is reviewed.