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Journal of Pediatric Neurology 2005; 03(03): 189-193
DOI: 10.1055/s-0035-1557263
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Suprasellar arachnoid cyst with precocious puberty

Raj Kumar
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Yogesh Jindal
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Sanjeev Jha
b   Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
› Author Affiliations
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Publication History

13 December 2004

21 December 2004

Publication Date:
29 July 2015 (online)

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Abstract

A 9-year-old boy with precocious puberty was presented with severe headache and vomiting, despite having a functioning ventriculoperitoneal shunt, from the age of one year for hydrocephalus. Magnetic resonance imaging revealed a tense suprasellar arachnoid cyst indenting the third ventricle. Decompression of cyst improved his headache and the features of precocious puberty at follow-up. His hormonal levels were not abnormal on gross neuroendocrine evaluation. It was concluded that suprasellar arachnoid cyst may manifest with features similar to raised intracranial pressure despite having a functioning shunt for associated hydrocephalus. Precocious puberty in such children may manifest without gross endocrinological abnormalities.

Keywords

Suprasellar arachnoid cyst - precocious puberty