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Hydrocephalus internus in a male patient with anorexic and bulimic eating behavior
Author(s) -
Pauls Andrejs M.,
Lauer Christoph J.,
Wiegand Michael,
Pirke KarlMartin,
Krieg JürgenChristian
Publication year - 1991
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199103)10:2<227::aid-eat2260100213>3.0.co;2-f
Subject(s) - medicine , anorexia nervosa , endocrinology , psychology , testosterone (patch) , prolactin , hormone , triiodothyronine , luteinizing hormone , anorexia , eating disorders , psychiatry
A 28‐year‐old man (body mass index: 14.9 kg/m 2 ) with anorexic and bulimic eating behavior is described. Brain imaging showed a hydrocephalus internus, presumably due to a stenosis of the aqueduct. Sleep EEC was grossly abnormal with reduced sleeping time, low sleep efficiency and reduced REM sleep. Measurement of hormones between 7:00 P.M. and 7:00 A.M. at 30‐min intervals revealed a pubertal secretion pattern of the luteinizing hormone and of testosterone. Basal insulin and triiodothyronine concentrations were reduced, cortisol and growth hormone levels were elevated. Although the basic endocrine findings are in line with earlier reports on anorexia nervosa, the extent of the sleep alterations, the normal norepinephrine secretion during an orthostatic test, and the early maximum of the cortisol secretion are not typical for anorexia nervosa.