Behavioral issues are a frequent problem in the pediatric population. Often, these are evaluated and considered to be psychiatric in origin. We report on a pediatric patient who presented with severe behavioral disturbance and developed organic symptoms including hypoventilation and dysautonomia and who was ultimately diagnosed with ROHHADNET syndrome, a syndrome of rapid-onset obesity, hypothalamic dysfunction, hypoventilation, and autonomic dysregulation associated with a neuroendocrine tumor. Autopsy findings revealed novel findings of the syndrome, including hypothalamic encephalitis.
ROHHADNET Syndrome Presenting as Major Behavioral Changes in a 5-Year-Old Obese Girl
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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Karen Sethi, Yi-Horng Lee, L. Eugene Daugherty, Andrea Hinkle, Mahlon D. Johnson, Philip J. Katzman, John S. Sullivan; ROHHADNET Syndrome Presenting as Major Behavioral Changes in a 5-Year-Old Obese Girl. Pediatrics August 2014; 134 (2): e586–e589. 10.1542/peds.2013-2582
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