Skip to main content

Septo-optic Dysplasia Spectrum

  • Chapter
  • First Online:
Diabetes Insipidus in Children
  • 356 Accesses

Abstract

Septo-optic dysplasia (SOD) is a clinically heterogenous disorder defined by the presence of two or more of the following features: optic nerve hypoplasia, hypothalamic-pituitary dysfunction, and midline developmental abnormalities of the brain, including absent septum pellucidum and thinning or agenesis of the corpus callosum. Central diabetes insipidus is reported in up to 20% of affected individuals and when present, nearly always occurs in conjunction with anterior pituitary hormone deficits. Neuroanatomic findings, including ectopic posterior pituitary and pituitary stalk abnormalities, have been associated with increased risk of pituitary dysfunction but incompletely predict evolution of endocrinopathy. Longitudinal assessment of pituitary function is required as deficiencies not present initially may develop over time.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ACTH:

Adrenocorticotrophic hormone

DI:

Diabetes insipidus

GH:

Growth hormone

IGF-1:

Insulin-like growth factor 1

IGF-BP3:

Insulin-like growth factor-binding protein 3

MRI:

Magnetic resonance imaging

SOD:

Septo-optic dysplasia

TSH:

Thyroid stimulating hormone

References

  1. Miller SP, Shevell MI, Patenaude Y, Poulin C, O’Gorman AM. Septo-optic dysplasia plus: a spectrum of malformations of cortical development. Neurology. 2000;54(8):1701–3.

    Article  CAS  Google Scholar 

  2. Morishima A, Aranoff GS. Syndrome of septo-optic-pituitary dysplasia: the clinical spectrum. Brain and Development. 1986;8(3):233–9.

    Article  CAS  Google Scholar 

  3. Fang Q, George AS, Brinkmeier ML, Mortensen AH, Gergics P, Cheung LY, et al. Genetics of combined pituitary hormone deficiency: roadmap into the genome era. Endocr Rev. 2016;37(6):636–75.

    Article  CAS  Google Scholar 

  4. Cerbone M, Guemes M, Wade A, Improda N, Dattani M. Endocrine morbidity in midline brain defects: differences between septo-optic dysplasia and related disorders. EClinicalMedicine. 2020;19:100224.

    Article  CAS  Google Scholar 

  5. Garcia-Filion P, Almarzouki H, Fink C, Geffner M, Nelson M, Borchert M. Brain malformations do not predict hypopituitarism in young children with optic nerve hypoplasia. Horm Res Paediatr. 2017;88(3–4):251–7.

    Article  CAS  Google Scholar 

  6. Birkebaek NH, Patel L, Wright NB, Grigg JR, Sinha S, Hall CM, et al. Optic nerve size evaluated by magnetic resonance imaging in children with optic nerve hypoplasia, multiple pituitary hormone deficiency, isolated growth hormone deficiency, and idiopathic short stature. J Pediatr. 2004;145(4):536–41.

    Article  Google Scholar 

  7. Alyahyawi N, Dheensaw K, Islam N, Aroichane M, Amed S. Pituitary dysfunction in pediatric patients with optic nerve hypoplasia: a retrospective cohort study (1975–2014). Horm Res Paediatr. 2018;89(1):22–30.

    Article  CAS  Google Scholar 

  8. Dahl S, Kristoffersen Wiberg M, Tear Fahnehjelm K, Savendahl L, Wickstrom R. High prevalence of pituitary hormone deficiency in both unilateral and bilateral optic nerve hypoplasia. Acta Paediatr. 2019;108(9):1677–85.

    Article  Google Scholar 

  9. Birkebaek NH, Patel L, Wright NB, Grigg JR, Sinha S, Hall CM, et al. Endocrine status in patients with optic nerve hypoplasia: relationship to midline central nervous system abnormalities and appearance of the hypothalamic-pituitary axis on magnetic resonance imaging. J Clin Endocrinol Metab. 2003;88(11):5281–6.

    Article  CAS  Google Scholar 

  10. Vedin AM, Garcia-Filion P, Fink C, Borchert M, Geffner ME. Serum prolactin concentrations in relation to hypopituitarism and obesity in children with optic nerve hypoplasia. Horm Res Paediatr. 2012;77(5):277–80.

    Article  CAS  Google Scholar 

  11. Hellstrom A, Wiklund LM, Svensson E, Albertsson-Wikland K, Stromland K. Optic nerve hypoplasia with isolated tortuosity of the retinal veins: a marker of endocrinopathy. Arch Ophthalmol. 1999;117(7):880–4.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elizabeth Rosenfeld .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rosenfeld, E. (2021). Septo-optic Dysplasia Spectrum. In: Alter, C.A. (eds) Diabetes Insipidus in Children. Springer, Cham. https://doi.org/10.1007/978-3-030-83248-3_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-83248-3_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-83247-6

  • Online ISBN: 978-3-030-83248-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics