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Hypothalamic hamartomas and precocious puberty

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Abstract

Ten children, five boys and five girls with true precocious puberty at an early age were found to have hypothalamic hamartomas on brain imaging. Very early onset of puberty, varying from a few weeks to three years of age, and rapid progression were characteristic. Accelerated growth velocity and markedly advanced bone age were evident in all. Gonadotropin and gonadal hormone levels were elevated above the prepubertal range. Six children had associated developmental delay or hyperactivity.

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References

  1. Judge DM, Kulin HE, Page R et al. Hypothalamic hamartomas: A source of luteinizing hormone releasing factor in precocious puberty.N Engl J Med 1977; 296: 7–10.

    Article  PubMed  CAS  Google Scholar 

  2. Price RA, Lee PA, Albright AL et al. Treatment of sexual precocity by removal of a luteinizing hormone releasing hormone secreting hamartoma.JAMA 1984; 251: 2247–2249.

    Article  PubMed  CAS  Google Scholar 

  3. Gruelich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist. Palo Alto, California: Stanford University Press, 1959.

    Google Scholar 

  4. Cacciari E, Frejaville E, Cicognani A et al. How many cases of true precocious puberty in girls are idiopathic.J Pediatr 1983; 102: 357–360.

    Article  PubMed  CAS  Google Scholar 

  5. Zuniger O.F., Tanner SM, Wild WO et al. Hamartoma of CNS associated with precocious puberty.Am J Dis Child 1983; 137: 127–133.

    Google Scholar 

  6. Hochman HI, Judge DH, Reichlin S. Precocious puberty and hypothalamic hamartoma.Pediatrics 1981; 67: 236–244.

    PubMed  CAS  Google Scholar 

  7. Pescovitz OH, Comite F, Hench K et al. The NIH experience with precocious puberty: diagnostic subgroups and the response to short term luteinizing hormone releasing hormone analogue therapy.J Pediatr 1986; 108: 47–54.

    Article  PubMed  CAS  Google Scholar 

  8. Diebler C, Ponset G. Hamartoma of the tuber cinerium.Neuroradiology 1983; 25: 93–101.

    Article  PubMed  CAS  Google Scholar 

  9. Mori K, Handa H, Takeuchi J et al. Hypothalamic hamartoma.J Comput Assist Tomogr 1981; 5: 519–521.

    Article  PubMed  CAS  Google Scholar 

  10. Hahn PJ, Leibreck LG, Huseman CA et al. The MR appearance of hypothalamic hamartoma.Neuroradiology 1988; 30: 65–69.

    Article  PubMed  CAS  Google Scholar 

  11. Lee PA, Page JG, Leuprolide study group: Effects of leuprolide in the treatment of central precocious puberty.J Pediatr 1989; 114: 321–324.

    Article  PubMed  CAS  Google Scholar 

  12. Comite F, Pescovitz OH, Rieth K et al. Luteinizing hormone releasing hormone (LHRH) analogue treatment of true precocious puberty secondary to a hypothalamic hamartoma in males.J Clin Endocrinol Metab 1984; 59: 88–92.

    Article  Google Scholar 

  13. Kauli R, Pertzelan A, Lewin Prager R et al. Cyproterone acetate in treatment of precocious puberty.Arch Dis Child 1976; 51: 202–208.

    Article  PubMed  CAS  Google Scholar 

  14. Starceski PJ, Lee PA, Albright AL et al. Hypothalamic hamartomas and sexual precocity. Am J Dis Child 1990; 144: 225–228.

    PubMed  CAS  Google Scholar 

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Colaco, M.P., Desai, M.P., Choksi, C.S. et al. Hypothalamic hamartomas and precocious puberty. Indian J Pediatr 60, 445–450 (1993). https://doi.org/10.1007/BF02751212

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