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Previous Volume 347:1604-1611 November 14, 2002 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A nine-year-old right-handed girl was admitted to the hospital because of a suprasellar mass.

The girl had been well, with normal development, until about six months earlier, when her mother observed that she reported "feeling cold" with increasing frequency. During the four months before admission, she reported having impaired vision. Several optometric and ophthalmologic examinations failed to reveal a cause, in great part because the girl was frightened and unable to cooperate fully. At about the same time, her performance at school began to deteriorate dramatically; she reported having severe fatigue and was noted to sleep for 10 to 12 . . . [Full Text of this Article]

Differential Diagnosis

Important Elements of the Clinical History and Physical Examination

            Sensation of Cold

            Visual Impairment

            Absence of Diabetes Insipidus and Developmental Abnormalities

Important Features of the Imaging Studies

Implications of the Laboratory Data

Diagnosis

Clinical Diagnosis

Dr. R. Michael Scott's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

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