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Pineal germinoma presenting as anorexia nervosa: Case report and review of the literature

✍ Scribed by Winston, Anthony P. ;Barnard, Dan ;D'Souza, Geraldine ;Shad, Amjad ;Sherlala, Khaled ;Sidhu, Jyoti ;Singh, Suraj Pal

Publisher
Wiley (John Wiley & Sons)
Year
2006
Tongue
English
Weight
125 KB
Volume
39
Category
Article
ISSN
0276-3478

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✦ Synopsis

Objective: Tumors of the hypothalamicpineal region may present with a wide variety of symptoms, including disturbed eating. We present a case where such a tumor was misdiagnosed as anorexia nervosa.

Method: We describe a case of pineal germinoma invading the hypothalamus, which was initially diagnosed as anorexia nervosa.

Results: Clinical features included weight loss, vomiting, pyrexia, hypernatraemia, and visual disturbance and the typical psychopathology of anorexia nervosa was absent.

Conclusion:

Organic disorder should always be considered before making a diagnosis of anorexia nervosa, particularly if the presentation is atypical.

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