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Hypopituitarism associated with transsphenoidal meningoencephalocele

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A 12-year-old boy with growth hormone deficiency and partial diabetes insipidus resulting from transsphenoidal meningoencephalocele and with eye abnormalities is described. Fifteen other patients with transsphenoidal meningoencepalocele have been reported. Hypothalamic-pituitary dysfunctions were diagnosed by endocrinological studies in seven cases. It is important to recognize transsphenoidal meningoencephalocele as a cause of hypopituitarism, since some cases may have gone unrecognized. The association of hypothalamic-pituitary dysfunction and a midline craniocerebral anomaly has been reported in patients with cleft lip and/or palate, septo-optic dysplasia, the holoprosencephalies, and Kallmann syndrome. However, there was no evidence of transsphenoidal meningoencephalocele in these disorders and this may be a different form of midline craniocerebral and midfacial anomaly.

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Correspondence to Y. Nishi.

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Nishi, Y., Muraki, K., Sakoda, K. et al. Hypopituitarism associated with transsphenoidal meningoencephalocele. Eur J Pediatr 139, 81–84 (1982). https://doi.org/10.1007/BF00442087

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Key words

  • Hypopituitarism
  • Transsphenoidal meningoencephalocele
  • Midline craniocerebral and midfacial anomaly