Precocious puberty caused by a suprasellar arachnoid cyst. Analysis of 6 cases
Brauner, R.; Pierre-Kahn, A.; Nemedy-Sandor, E.; Rappaport, R.; Hirsch, J.F.
Archives Francaises de Pediatrie 44(7): 489-493
1987
ISSN/ISBN: 0003-9764 PMID: 3426371 Document Number: 293297
The authors report 6 cases (4 girls and 2 boys) with central precocious puberty associated with a suprasellar arachnoid cyst. Precocious puberty is rarely the presenting sign of arachnoid cysts. It was characterized by early onset, patent symptoms and frequent association (3 of 6 cases) with growth hormone deficiency. The latter represents a further risk of short stature. Evolution of precocious puberty varied from one case to another, without any relation with the quality of control of the arachnoid cyst and associated hydrocephalus. Half-yearly follow-up of height and bone age allowed for deciding a suppressive treatment of precocious puberty and a substitutive growth hormone therapy when needed.