Skip to main content

CASE REPORT article

Front. Pediatr.
Sec. Pediatric Surgery
Volume 12 - 2024 | doi: 10.3389/fped.2024.1450017

Case report: a case of thoracoscopic mediastinal tumor resection in a child with ROHHAD syndrome

Provisionally accepted
Yangwei Ma Yangwei Ma Jia Gao Jia Gao Lianghong Huo Lianghong Huo Wang Fang Wang Fang *
  • Beijing Children’s Hospital, Capital Medical University, Beijing, China

The final, formatted version of the article will be published soon.

    Rapid-onset obesity with hypoventilation, hypothalamic dysfunction, and autonomic dysregulation (ROHHAD) is an exceptionally rare condition. This case report highlights a child diagnosed with ROHHAD syndrome, presenting with a mediastinal tumor. ROHHAD syndrome is characterized by early onset obesity, hypothalamic dysfunction, autonomic dysfunction, inadequate ventilation, suspected seizures, and abnormal behavior. The presence of a mediastinal tumor necessitated surgical intervention. Key considerations during surgery included hypernatremia due to hypothalamic dysfunction, potential airway challenges, preoperative anemia, and hemodynamic fluctuations during the removal of the sizable mediastinal tumor.Comprehensive preparations ensured a safe operation. Notably, some children with this syndrome may exhibit symptoms such as decreased gastrointestinal function, polyuria, and thermoregulatory disturbances.Vigilance is essential during anesthesia assessment in these patients.Anesthesiologists should enhance their knowledge of this condition and tailor their management strategies based on individual clinical presentations and the specific planned surgical procedures.

    Keywords: ROHHAD syndrome, Mediastinal tumor, Neuroblastoma, hypernatronemia, Anesthetic management, case report

    Received: 16 Jun 2024; Accepted: 02 Sep 2024.

    Copyright: © 2024 Ma, Gao, Huo and Fang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Wang Fang, Beijing Children’s Hospital, Capital Medical University, Beijing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.