Rapunzel Syndrome in a Patient with Autism

Trichobezoar should be considered in the differential diagnosis in pediatric patients who present with complaints of abdominal pain, feeding problems, and vomiting as well as psychiatric problems.Rapunzel syndrome is a rare form of trichobezoar that can extend from the stomach to the small intestine and even to the colon. In this case report, a 9-year-old girl with autism accompanied by trichotillomania and trichophagia and diagnosed with Rapunzel syndrome is presented

Acute Ophthalmoplegia; Same Disease, Different Variants: Anti GQ1b Antibody Syndrome

Patients with Miller Fisher syndrome (MFS) are characterized by acute ophthalmoplegia (AO) and areflexia. MFS is an immune mediated process, triggered by an infection and includes incomplete forms, such as ophthalmoplegia, ataxia and a central nervous system subtype known as Bickerstaff brainstem encephalitis (BBE). We present two cases admitted to our hospital on the same day. The first case was presented as AO, with elevated levels of anti GQ1b. The second case was presented as AO, oropharyngeal palsy and sensory motor polyneuropathy with borderline levels of anti GQ1b, diagnosed as BBE. There are atypical forms of MFS with different clinical symptoms and elevated levels of antibodies called “Anti GQ1b Antibody syndrome”. The cases of the two patients diagnosed as MFS variants’ AO and BBE

Malnutrition Despite Adequate Nutrient Intake: A Clue For Diencephalic Syndrome

Diencephalic syndrome is characterized by excessive weight loss and subcutaneous fatty tissue loss, hyperactivity, euphoria, and hypervigilance observed in early childhood. It usually accompanies space-occupying neoplastic lesions of the hypothalamic–optochiasmatic region. There is an inverse relationship between mass size and weight gain. In this case report, a patient aged 1 year and 2 months with hypothalamic–optochiasmatic glioma was presented. We aimed to draw attention to diencephalic syndrome, which is a rare cause of weight gain and vomiting