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Wednesday, November 11, 2009
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Hypothalamic dysfunction

Central nervous system
Central nervous system
Symptoms

Symptoms generally relate to the hormones that are missing. In children, there may be growth problems -- either too much growth or too little -- or puberty that occurs too early or too late.

Tumor symptoms:

  • Headaches
  • Loss of vision

Hypothyroidism symptoms:

  • Breast enlargement
  • Cold intolerance
  • Fatigue
  • Hair or skin changes
  • Impotence
  • Loss of body hair and muscle (in men)
  • Menstrual disturbance
  • Weight gain

Low adrenal function symptoms:

  • Dizziness
  • Weakness

Other, less common symptoms may include:

  • Body temperature disturbance
  • Emotional abnormalities
  • Excess thirst
  • Obesity
  • Uncontrolled urination

Kallmann's syndrome (a type of hypothalamic dysfunction that occurs in men) symptoms:

  • Lowered function of sexual hormones (hypogonadism)
  • Inability to smell

Signs and tests

Blood or urine tests to determine levels of hormones such as:

  • Cortisol
  • Estrogen
  • Growth hormone
  • Pituitary hormones
  • Prolactin
  • Testosterone
  • Thyroid

Other possible tests:

  • Hormone injections followed by timed blood samples
  • MRI or CT scans of the brain
  • Visual field eye exam (if there is a tumor)


Review Date: 03/18/2008
Reviewed By: Elizabeth H. Holt, MD, PhD, Assistant Professor of Medicine, Section of Endocrinology and Metabolism, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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