Indication

Hypothalamic obesity

Hypothalamic obesity is a severe neuroendocrine disorder characterized by rapid, intractable weight gain resulting from structural or functional damage to the hypothalamic nuclei that control energy homeostasis. Read more about Hypothalamic obesity

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About Hypothalamic obesity.

Hypothalamic obesity is a severe neuroendocrine disorder characterized by rapid, intractable weight gain resulting from structural or functional damage to the hypothalamic nuclei that control energy homeostasis.

It predominantly arises in pediatric and adult populations following sellar or suprasellar tumors—most frequently craniopharyngiomas—as well as subsequent neurosurgical resections, cranial radiotherapy, or traumatic brain injury.

Pathophysiologically, the condition is driven by impaired central satiety signaling, reduced sympathetic tone, disrupted leptin and insulin signaling, and vagally mediated hyperinsulinemia.

Clinically, affected individuals exhibit profound hyperphagia paired with markedly decreased resting energy expenditure, producing excessive adiposity that is characteristically refractory to standard lifestyle and behavioral interventions.

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