Question
On April 26, 2016, a patient presented with vomiting, nausea, headache, and abdominal pain, with vomit consisting of white foam. The patient also exhibited symptoms of precocious puberty, with the penis having hair and prolonged erections during arousal. The patient had visited Beijing Tian Tan Hospital where the doctor believed there was a one percent possibility of a hamartoma. There were no signs of development at the time, but recent two months have shown signs of development.
Answer
Hypothalamic hamartoma has unique clinical manifestations, most commonly occurring in children and presenting as precocious puberty, epilepsy, and other behavioral abnormalities. Surgical treatment can alleviate symptoms. It is recommended to visit the endocrine department of the hospital for breast development examination and to avoid children from consuming junk food. Additionally, cranial MRI, sex hormone tests, and EEG can help in further clarifying the condition. If an intracranial tumor is diagnosed, timely surgical treatment should be considered.