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

Authors


Abstract

Objective:

Tumors of the hypothalamic-pineal 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. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006

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