Fever for 2 months and disturbance of consciousness for 1 week in a preschool-aged girl

Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation syndrome (ROHHADS) is a rare multi-system disease, and delayed diagnosis and treatment may lead to catastrophic cardiopulmonary complications. As far as we know, no patient with ROHHADS has been reported...

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Published inZhongguo dang dai er ke za zhi Vol. 23; no. 5; p. 519
Main Authors Tian, Mao-Qiang, Lei, Wen-Ting, Lang, Chang-Hui, Li, Juan, Tan, Jun-Mei, Shu, Xiao-Mei
Format Journal Article
LanguageChinese
Published China 01.05.2021
Subjects
Child
Child, Preschool
China
Consciousness
Female
Humans
Hypothalamic Diseases
Hypoventilation
Obesity
China
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ISSN1008-8830

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Summary:Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation syndrome (ROHHADS) is a rare multi-system disease, and delayed diagnosis and treatment may lead to catastrophic cardiopulmonary complications. As far as we know, no patient with ROHHADS has been reported in China, and this article reports a child with ROHHADS to improve the awareness of this disease among clinicians. A girl, aged 3 years, had the clinical manifestations of rapid weight gain, fever, disturbance of consciousness, and convulsion. The physical examination showed a body weight of 20 kg, somnolence, irregular breathing, and stiff neck. She had increased blood levels of prolactin and follicle-stimulating hormone and hyponatremia. The lumbar puncture showed an increased intracranial pressure. The brain MRI and magnetic resonance venography showed symmetrical lesions in the periventricular region and venous thrombosis in the right transverse sinus and the superior sagittal sinus. The sleep monitoring showed
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ISSN:1008-8830