Diancephalic syndrome

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Diancephalic syndrome. This is usually caused by tumours in or around the hypothalamus. Fully referenced neurology checklist.

Pathology

  • This is usually caused by tumours in or around the hypothalamus
  • It may also result from brainstem and optic pathway tumours
  • It has been reported with non-tumour lesions

Causes

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Tumour sites

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Systemic features

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Ophthalmic features

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Neurological features

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Differential diagnosis

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Magnetic resonance imaging (MRI) brain

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Synonym

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References

  1. La Spina M, Caruso M, Gulizia C, et al. Diencephalic syndrome: misleading clinical onset of low-grade glioma. Curr Oncol 2023; 30:8401-8410.
  2. Trapani S, Bortone B, Bianconi M, Rubino C, Sardi I, Lionetti P, Indolfi G. Diencephalic syndrome in childhood, a challenging cause of failure to thrive: miniseries and literature review. Ital J Pediatr 2022; 48:147.
  3. Tavares LS, Pinho RS, Aragão MM, et al. Diencephalic syndrome-like presentation of brainstem tumor: a series case-based review. Childs Nerv Syst 2023; 39:1115-1122. 
  4. De Martino L, Picariello S, Triarico S, et al. Diencephalic syndrome due to optic pathway gliomas in pediatric patients: an Italian multicenter study. Diagnostics (Basel) 2022; 12:664.
  5. Poussaint TY, Barnes PD, Nichols K, Anthony DC, Cohen L, Tarbell NJ, Goumnerova L. Diencephalic syndrome: clinical features and imaging findings. AJNR 1997; 18:1499-1505.
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