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Journal of Child Neurology
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*Anxiety
*Eating Disorders
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Pontine Mass Presenting as Anxiety, Obsessions, and Severe Eating Problems: A Case Report

Ozgur Oner, MD

SB Diskapi Children's Training Hospital, Child Psychiatry, Ankara, Turkey, ozz_oner{at}yahoo.com

Psychiatric symptoms are rarely reported as presenting symptoms in brainstem gliomas in children, with anxiety being the most common one. An 8-year-old girl patient had loss of appetite, weight loss, and difficulty in swallowing severe enough to warrant parenteral nutrition and hospitalization. Psychiatric examination revealed ego-dystonic obsessions related with choking and compulsory religious rituals. Symptoms partially responded to psychotropic treatment. However, because of unremitting hiccups and left-sided weakness, brain imaging was conducted, and magnetic resonance imaging revealed a diffuse pontine mass. The possible explanations for the relationship between the pontine mass and the psychiatric symptoms are discussed.

Key Words: pontine mass • obsessions • anxiety

Journal of Child Neurology, Vol. 22, No. 4, 471-473 (2007)
DOI: 10.1177/0883073807301923
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