Severe anorexia in a child with arachnoid cyst

Abstract

The G.V. 5 year and 11 months old boy, accused anorexia, headache with left hemicrany with onset of about 2 weeks. The only conclusive anamnestic aspect is a cranio-cerebral trauma that occurred 2 months before the onset of the symptomatology. The child was completely clinical, laboratory, imaging examined. There were no somatic changes or biological parameters. In diagnostic imaging, CT reveals a temporoparietal arachnoid cyst without deformation of the ventricular system of 5.5/4.5 cm. The postoperative evolution of the case is unsatisfactory, 2 months after surgery the child develops iatrogenic epilepsy, behavioral disorders with anxiety, anxious syndrome and severe anorexia, refractory to treatment, as well as neurological manifestations - transient hemiparesis. We mention the issue of certainty indication for surgical intervention in a case of arachnoid cyst and the possibility of impairment and/or damage to the hypothalamus as control of hunger, satiety or damage at the level of synaptic transmission.