04-08-2010, 01:52 AM
A 20-year-old man comes to his primary care physician because of a headache and excessive drowsiness for the past month. The headaches are dull and diffuse without any nausea, vomiting, or visual disturbances. He denies snoring and says he sleeps well through the night. However, he now has vivid dreams. He denies using drugs, alcohol, or any other medications. On examination the physician notes a slim man who appears tired but has an otherwise unremarkable physical examination. A sleep study is unremarkable. MRI of the brain after contrast reveals abnormalities in a mass located between the thalamic bodies.
What is the most likely cause of this patient's symptoms?
1-craniopharyngioma
2-enlarged adenoids
3- excessive melatonin production
4-hyperpitutarism
5-increased intraventricular pressure
What is the most likely cause of this patient's symptoms?
1-craniopharyngioma
2-enlarged adenoids
3- excessive melatonin production
4-hyperpitutarism
5-increased intraventricular pressure