Skip to main content
Log in

Hypothalamic hamartoma: the role of surgery

  • Case Reports
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Abstract

A hypothalamic hamartoma associated with true precocious puberty in a 7-month-old girl is hereby reported. Hormonal studies disclosed elevated serum levels of luteinizing hormone (LH) and follicle stimulating hormone, both of which responded well to LH-releasing hormone stimulation. Following a subtotal removal of the tumor, the clinical manifestations of precocious puberty as well as associated endocrinological abnormalities returned to normal. The role of surgery for this lesion, which appears to be safe when a planned microsurgical course is employed, is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alvarez-Garijo JA, VJ Albiach, MM Vila, F Mulas, V Esquembre: Precocious puberty and hypothalamic hamartoma with total recovery after surgical treatment. J Neursurg 58 (1983) 583–585

    Google Scholar 

  2. Balagura S, K Shulman, EH Sobel: Precocious puberty of cerebral origin. Surg Neurol 11 (1979) 315–326

    Google Scholar 

  3. Boepple PA, MJ Mansfield, ME Wierman, CR Rudlin, HH Bode, JFJ Crigler: Use of a potent, long-acting antagonist of gonadotropin-releasing hormone in the treatment of precocious puberty. Endocr Rev 7 (1986) 24–33

    Google Scholar 

  4. Curatolo P, R Cusmai, G Finocchi, B Bosherini: Gelastic epilepsy and true precocious puberty due to hypothalamic hamartoma Dev Med Child Neurol 26 (1984) 509–514

    Google Scholar 

  5. Hadjilambris K, R Fahlbusch, E Heinze: True precocious puberty of a girl with hamartoma of the CNS successfully treated by operation. Eur J Pediatr 145 (1986) 148–150

    Google Scholar 

  6. Hibi I, K Fujiwara: Precocious puberty of cerebral origin: a cooperative study in Japan. Prog exp Tumor Res 30 (1987) 224–238

    Google Scholar 

  7. Hochman HJ, DM Judge, S Reichlin: Precocious puberty and hypothalamic hamartoma. Pediarics 67 (1981) 236–244

    Google Scholar 

  8. Hondo H, R Tanaka, M Yokoyama, H Sato: True precocious puberty due to hypothalamic hamartoma. Neurol Med Chir (Tokyo) 24 (1984) 416–420

    Google Scholar 

  9. Ilgren E, M Briggs, M Aynsley-Green: Precocious puberty in a 3-year-old girl associated with a parasellar ganglionic hamartoma. Clin Neuropathol 2 (1983) 95–98

    Google Scholar 

  10. Kammer K, K Perlaman, RP Humphreys, NJ Howard: Clinical and surgical aspects of hypothalamic hamartoma associated with precocious puberty in a 15-month-old boy. Child's Brain 7 (1980) 150–157

    Google Scholar 

  11. Kyuma Y, E Kato, K Sekido, T Kuwabara: Hypothalamic hamartoma successfully treated by operation. Case report. J Neurosurg 62 (1985) 288–290

    Google Scholar 

  12. Machado HR, HJ Hoffman, PA Hwang: Gelastic seizures treated by resection of a hypothalamic hamartoma. Child's Nerv Syst 7 (1991) 462–465

    Google Scholar 

  13. Nishio S, S Fujiwara, Y Aiko, I Takeshita, M Fukui: Hypothalamic hamartoma. Report of two cases. J Neurosurg 70 (1989) 640–645

    Google Scholar 

  14. Sato H, Y Ushio, N Arita, H Mogami: Hypothalamic hamartoma: report of two cases. Neurosurgery 16 (1985) 198–206

    Google Scholar 

  15. Savage DCL, PGF Swift: Effect of cyproterone acetate on adrenocortical function in children with precocious puberty. Arch Dis Child 56 (1981) 218–222

    Google Scholar 

  16. Starceski PJ, PA Lee, AL Albright, CJ Migeon: Hypothalamic hamartomas and sexual precocity. AJDC 144 (1990) 225–228

    Google Scholar 

  17. Takeuchi J, H Handa, Y Miki, H Munemitsu, T Aso: Precocious puberty due to a hypothalamic hamartoma. Surg Neurol 11 (1979) 456–460

    Google Scholar 

  18. Vaquero J, R Canillo, S Oya, R Lopez: Precocious puberty and hypothalamic hamartoma: report on a new case with ultrastructural data. Acta Neurochir 74 (1985) 129–133

    Google Scholar 

  19. Wang A, Y Nakasu, M Ichikawa, S Nakasu, J Handa, K Okumura, N Ohya: Hypothalamic hamartoma associated with precocious puberty. Case report. Neurol Med Chir (Tokyo) 27 (1987) 336–340

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nishio, S., Shigeto, H. & Fukui, M. Hypothalamic hamartoma: the role of surgery. Neurosurg. Rev. 16, 157–160 (1993). https://doi.org/10.1007/BF00258250

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00258250

Keywords

Navigation