Surgically treatable growth retardation due to non-neoplastic pituitary-hypothalamic dysfunction

Concezio DiRocco, Aldo Iannelli, Patrizia Borrelli, Marco Cappa, Cesare Colosimo

Research output: Contribution to journalArticlepeer-review

Abstract

Out of 90 children, examined because of growth failure, 15 have been treated surgically. The diagnoses were intrasellar arachnoid diverticulum or empty sella (5 cases), enlarged chiasmatic cisterns (5 cases), chronic ‘occult’ hydrocephalus (5 cases). Surgery was followed by an immediate increase in growth rate in almost all the cases, even if the result was persistent only in some subjects. In percentage, better results were obtained in patients with enlarged chiasmatic cisterns and chronic occult hydrocephalus than in patients with arachnoid diverticulum or empty sella. The evaluation of prolactin serum levels was demonstrated to be useful both in preoperative diagnosis and postoperative control.

Original languageEnglish
Pages (from-to)353-368
Number of pages16
JournalPediatric Neurosurgery
Volume11
Issue number6
DOIs
Publication statusPublished - 1984

Keywords

  • Chiasmatic cysts
  • Empty sella
  • Growth failure
  • Hydrocephalus
  • Pediatric neurosurgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Surgery

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