Postpartum hypothalamic dysfunction--a case report
Krysiak, R.; Olszanecka-Glinianowicz, M.; Marek, B.; Wilk, I.; Okopień, Bław.
Endokrynologia Polska 61(4): 396-399
2010
ISSN/ISBN: 0423-104X PMID: 20806185 Document Number: 645469
Hypothalamic dysfunction is a rarely diagnosed endocrine disorder resulting from various pathological processes affecting this brain region. It is characterized by a complex clinical manifestation, including headaches, abnormal regulation of various behaviours, abnormalities in sleeping and thermoregulation, and inappropriate secretion of many hormones. In our paper, we report the case of a 29-year-old female in whom hypothalamic dysfunction was induced by delivery complications. Accurate diagnosis of this syndrome required complex laboratory and imaging tests. The disease-related obesity was resistant to conventional treatment (diet and pharmacotherapy) and only bariatric surgery caused a reduction of body mass. The described patient is the first with postpartum hypothalamic dysfunction in whom plasma levels of adipokines, neuropeptides, and alimentary tract hormones contributing to physiological regulation of food intake were assessed.