]> 2026-07-31T09:39:50+00:00 WBR0197 0 en Craniopharyngioma Metastatic carcinoma '''Incorrect'''-Metastatic carcinoma generally occurs in older patients and would not be expected to cause these symptoms. Hypothalamic hamartoma '''Correct'''-Hypothalamic hamartomas may cause symptoms referable to the hypothalamus and its neuroendocrine functions. Most often they lead to either precocious puberty or acromegaly due to overproduction of growth hormone releasing hormone. Patients may also experience paroxysms of laughter along with facial contractions, known as gelastic seizures. If the vocalization has a crying quality, it is called as dacrystic seizures. Cognitive impairments like memory and learning disabilities along with hypothalamic rages might occur. Hypothalamic rages are different form temper tantrums in the sense they occur without any provocation. Pallister Hall syndrome is a rare genetic disorder where large hypothalamic hamartomas can occur along with polydactyly and cutaneous syndactyly. Hypothalamic hamartomas may be cured surgically. Choroid plexus papilloma Giant aneurysm Pediatrics Vendhan Ramanujam A 9 year old girl is brought to the physicians office by her mother who complaints of few recent changes in her daughter. Her daughter has been having episodes of uncontrollable laughter. Her performance in her school has been poor and she often tends to turn aggressive on her classmates and even on her mother. She has also started menstruating recently and her breast development started at the age of 7 years, which is unusual. Which of the following mass lesions might explain her symptoms? C Endocrine Neurology Oncology 2020-10-27T23:43:50Z 2459150.4887732 WBR0197