Case Report: First description of an intracranial “NET” in ROHHAD syndrome; time to rename to the ROHHAD-NeCT syndrome? - Report - MDSpire

Case Report: First description of an intracranial “NET” in ROHHAD syndrome; time to rename to the ROHHAD-NeCT syndrome?

  • By

  • Nathalie J. Doelman-Oldenburger

  • Antoinette Y. N. Schouten-van Meeteren

  • Mariette E. G. Kranendonk

  • Kim Boshuisen

  • Michiel A. G. E. Bannier

  • Hanneke M. van Santen

  • May 29, 2026

  • 0 min

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Clinical Report: First Report of an Intracranial Neuroendocrine Tumor in ROHHAD Syndrome

Overview

This report presents the first known case of an intracranial ganglion cell tumor in a patient with ROHHAD syndrome.

Background

ROHHAD syndrome is a rare pediatric disorder characterized by rapid-onset obesity, hypothalamic dysfunction, hypoventilation, and autonomic dysregulation. Approximately 40-50% of patients with ROHHAD develop associated neuroendocrine tumors, primarily ganglioneuroblastoma or ganglioneuroma.

Data Highlights

No numerical or trial data were provided in the source material.

Key Findings

  • This is the first report of an intracranial ganglion cell tumor in a patient with ROHHAD syndrome.
  • ROHHAD syndrome is associated with a significant risk of neuroendocrine tumors, with 40-50% of patients affected.
  • Diagnosis of ROHHAD syndrome is challenging due to the absence of a definitive diagnostic test.
  • Symptoms of ROHHAD syndrome can include rapid weight gain, hypoventilation, and autonomic dysregulation.

Clinical Implications

Healthcare providers should be vigilant in screening for both extracranial and intracranial tumors in patients presenting with symptoms of ROHHAD syndrome. Early identification and management of associated tumors may be crucial for improving patient outcomes.

Conclusion

This report presents a case of an intracranial tumor in a patient with ROHHAD syndrome.

Related Resources & Content

  1. Acta Neuropathologica, 2024 -- Rosette-Forming Glioneuronal Tumors Lacking FGFR1 Wild-Type Alterations
  2. Journal of Neuro-Oncology, 2009 -- High-dose chemotherapy and autologous stem cell rescue for atypical teratoid/rhabdoid tumor of the central nervous system
  3. Acta Neuropathologica, 2022 -- Identification of a Targetable ROS1::GIT2 Fusion in Non-Langerhans Cell Histiocytosis Affecting the Central Nervous System
  4. Journal of Neuro-Oncology, 2010 -- Case Study of Rosette-Forming Glioneuronal Tumor in the Pineal Region: Analysis of IDH1 and IDH2 Mutations and a Review of 43 Similar Cases
  5. American Academy of Pediatrics, 2025 -- Melanocortin-4 Receptor Agonist Treatment of Hypothalamic Obesity in ROHHAD Syndrome
  6. ROHHAD Syndrome Overview
  7. Melanocortin-4 Receptor Agonist Treatment of Hypothalamic Obesity in ROHHAD Syndrome | Pediatrics | American Academy of Pediatrics

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