Endocrine Abstracts

The diagnostic strategy in the face of stunted growth currently leaves an important place for brain imaging, which looks for growth hormone deficiency, a ‘craniopharyngioma’ tumor, or a malformation of the midline or pituitary region. The purpose of our work is to look for abnormalities of the pituitary area in case of stunted growth.

Patients and methods: A retrospective descriptive and analytical study involving 69 patients (30 girls/9 boys) with a mean age of 8.5 years ±8 years, the patient size was <−2 S.D. according to the Sempé and Sempé growth curve. Pedron with an average of 117.6 cm ±31.

Result: Of the 29 patients with growth hormone deficiency who had magnetic resonance imaging, 20 had normal MRI. 3 patients had an interruption of the pituitary stalk, moreover the imaging revealed pituitary atrophy in 04 cases and its thickening in 01 cases and a craniopharyngioma.

Conclusion: There is an extreme variety of pathology of the sellar region in children, but only a few are common. The diagnosis requires anatomical precision, the most precise tissue identification, and therefore a careful and complete imaging technique.