Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-22T08:37:20.668Z Has data issue: false hasContentIssue false
  • English
  • Français

Anorexia Nervosa and Brain Tumor in a 14-Year-Old Girl

Published online by Cambridge University Press:  07 November 2014

Mae S. Sokol ,
Chrystie K. Fujimoto ,
Tammy K. Jackson  and
Phillip J. Silberberg
Get access Rights & Permissions [Opens in a new window]

Abstract

A 14-year-old girl with anorexia nervosa (AN) was found to have an intracranial neoplasm. Atypical psychological symptoms prompted further evaluation, including electroencephalogram and neuroimaging, which revealed a sellar and suprasellar mass.This patient had an eating disorder and a brain tumor, which appear to be two unrelated conditions. However, it remains unclear how each affected the other. The diagnosis of AN, like all other psychiatric disorders, requires that possible medical etiologies and coexisting medical problems be excluded. AN and other eating disorders are particularly difficult to diagnose in children and adolescents because they often do not present in the manner typical of adults. Perceptual and cognitive disturbances associated with AN are difficult to evaluate because children and adolescents normally change over time as they progress through different stages of development. Therefore, It is particularly important to evaluate for the presence of medical conditions when a diagnosis of an eating disorder is made in a child or adolescent.

Type
Case Report
Information
CNS Spectrums , Volume 11 , Issue 9 , September 2006 , pp. 669 - 673
Copyright
Copyright © Cambridge University Press 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. text rev. Washington, DC: American Psychiatric Association; 2000.Google Scholar
2. Franzese, A, Valerio, G, Buono, P, et al. Comorbidity of type 1 diabetes and anorexia nervosa in a 6-year-old girl. Diabetes Care. 2002;25:800–801.Google Scholar
3. Bryant-Waugh, R, Lask, B. Eating disorders in children. J Child Psychol Psychiatry. 1995;36:191–202.Google Scholar
4. Nicholls, D, Chater, R, Lask, B. Children into DSM don't go: a comparison of classification systems for eating disorders in childhood and early adolescence. Int J Eat Disord. 2000;28:317–324.Google Scholar
5. Bryant-Waugh, R. Overview of the eating disorders. In: Lask, B, Bryant-Waugh, R, eds. Anorexia Nervosa and Related Eating Disorders in Childhood and Adolescence. 2nd ed. East Sussex, UK: Psychology Press; 2000:27–40.Google Scholar
6. Fosson, A, Knibbs, J, Bryant-Waugh, R, Lask, B. Early onset anorexia nervosa. Arch Dis Child. 1987;621:114–118.Google Scholar
7. Chipkevitch, E. Brain tumors and anorexia nervosa syndrome. Brain Dev. 1994;16:175–179.Google Scholar
8. DeVile, CJ, Sufraz, R, Lask, BD, Stanhope, R. Lesson of the week: occult intracranial tumors masquerading as early onset anorexia nervosa. BMJ. 1995;311:1359–1360.Google Scholar
9. Niedermeyer, E, Lopes da Silva, F. Electroencephalography—Basic Principles, Clinical Applications, and Related Fields. Baltimore, Md: Urban and Schwarzenberg; 1982.Google Scholar
10. Crisp, AH, Fenton, GW, Scotton, L. A controlled study of the EEG in anorexia nervosa. Brit J Psychiatry. 1968;114:1149–1160.Google Scholar
11. Kaye, WH, Nagata, T, Weltzin, TE, et al. Double-blind placebo-controlled administration of fluoxetine in restricting- and restricting-purging-type anorexia nervosa. Biol Psychiatry. 2001;49:644–652.Google Scholar
12. O'Brien, A, Hugo, P, Stapleton, S, et al. “Anorexia saved my life”: coincidental anorexia nervosa and cerebral meningioma. Int J Eat Disord. 2001;30:346–349.Google Scholar
13. Wright, K, Smith, MS, Mitchell, J. Organic diseases mimicking atypical eating disorders. Clin Pediatr. 1990;29:325–328.Google Scholar
14. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. rev. Washington, DC: American Psychiatric Association; 1987.Google Scholar
15. Moise, D, Madhusoodanan, S. Psychiatric symptoms associated with brain tumors: a clinical enigma. CNS Spectr. 2006;11:28–31.Google Scholar
16. Binder, RL. Neurologically silent brain tumors in psychiatric hospital admissions: three cases and a review. J Clin Psychiatry. 1983;44:94–97.Google Scholar