Summary
A previously healthy seventeen-year-old boy developed loss of weight, poor appetite, and aversion to food. Physical examination being normal, anorexia nervosa was suspected. Thirteen months later a CT scan revealed a mass in the third ventricle histologically proven to be a malignant teratoma. To our knowledge anorexia nervosa is only extremely rarely the presenting feature of intracranial germ cell tumors.
Similar content being viewed by others
Abbreviations
- CT:
-
computerized tomography
- MRT:
-
magnetic resonance tomography
- TR:
-
relaxation time
- TE:
-
echo time
- ms:
-
millisecond
References
Aichner F, Mayr U, Skrabal F, Fritsch E, Poewe W, Twerdy K (1984) Atypical pineal teratoma: clinical and computertomographic features of two patients with disseminated ependymal lesions. Neurochirurgia (Stuttg) 27:120–124
Biebl W, Platz Th, Kinzl J, Aichner F (1984) Ein Fall von männlicher „atypischer Anorexia nervosa“: Tumor im Bereich des 3. Ventrikels. Nervenarzt 55:265–268
Boshes B (1969) Syndromes of the diencephalon: the hypothalamus and the hypophysis. In: Vinken PJ, Bruyn GW (eds) North-Holland, pp 432–468
Dayan AD, Marshall AHE, Miller AA, Pick FJ, Rankin ME (1966) Atypical teratomas of the pineal and hypothalamus. J Pathol Bacteriol 92:1–28
Herzog DB, Copeland PM (1985) Eating disorders. N Engl J Med 313:295–303
Jellinger K (1973) Primary intracranial germ cell tumors. Acta Neuropathol (Berl) 25:291–306
Marazzi MA, Luby ED (1989) The neurobiology of anorexia nervosa: an auto-addiction? In: Cohen MP, Foa PP (eds) The brain as an endocrine organ. Springer, New York Berlin Heidelberg, pp 46–95
Mc Cullagh EP, Tupper WR (1940) Anorexia nervosa. Ann Intern Med 14:817–838
Puschett JB, Goldberg M (1968) Endocrinopathy associated with pineal tumor. Ann Intern Med 69:203–219
Swischuk LE, Bryan RN (1974) Double midline intracranial atypical teratomas. A recognizable neuroendocrinologic syndrome. AJR 122:517–524
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Berek, K., Aichner, F., Schmutzhard, E. et al. Intracranial germ cell tumor mimicking anorexia nervosa. Klin Wochenschr 69, 440–442 (1991). https://doi.org/10.1007/BF01666831
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF01666831