Septooptic Dysplasia with an Associated Arachnoid Cyst
Joint Authors
McLaurin-Jiang, Skyler V.
Wood, Julie K.
Crudo, David F.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 4-week-old male infant presented with hypothermia, hypoglycemia, and hyperbilirubinemia.
His medical history was remarkable for hydrocephalus secondary to an arachnoid cyst, intermittent hypoglycemia, hypothermia, and poor feeding requiring nasogastric tube for nutrition.
Physical exam revealed retrognathia, mild hypotonia, micropenis, and clinodactyly.
Ophthalmologic exam demonstrated bilateral optic nerve hypoplasia (ONH).
Laboratory data confirmed inadequate cortisol and growth hormone response to hypoglycemia, a low thyroxine level, and direct hyperbilirubinemia.
Magnetic resonance imaging of the brain confirmed the known history of arachnoid cyst with hydrocephalus but also revealed anterior pituitary hypoplasia, absence of the posterior pituitary bright spot, a thin pituitary stalk, and bilateral optic nerve hypoplasia.
A diagnosis of septooptic dysplasia (SOD) was made.
Hormone replacement with hydrocortisone and levothyroxine was started with improvement in the infant’s glycemic control, thermoregulation, feeding, and cholestasis.
This case reinforces the importance of careful physical examination and laboratory review in a patient with known history of arachnoid cyst which has been previously described as an associated feature of optic nerve hypoplasia and hypopituitarism.
American Psychological Association (APA)
McLaurin-Jiang, Skyler V.& Wood, Julie K.& Crudo, David F.. 2016. Septooptic Dysplasia with an Associated Arachnoid Cyst. Case Reports in Pediatrics،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102417
Modern Language Association (MLA)
McLaurin-Jiang, Skyler V.…[et al.]. Septooptic Dysplasia with an Associated Arachnoid Cyst. Case Reports in Pediatrics No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102417
American Medical Association (AMA)
McLaurin-Jiang, Skyler V.& Wood, Julie K.& Crudo, David F.. Septooptic Dysplasia with an Associated Arachnoid Cyst. Case Reports in Pediatrics. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102417
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102417