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Iatrogenic Shapiro syndrome: a case report.
Rosa Ferrer Tarrés1, Marina Garcia Huguet2, Carla Vera Cáceres2
1Neurology Department, University Hospital of Girona Doctor Josep Trueta, Avinguda de França S/N, 17007, Girona, Spain. rferrert.girona.ics@gencat.cat.
This case report details the first iatrogenic Shapiro syndrome (SS) case, linked to neurosurgery. The study suggests surgical disruption of thermoregulation pathways may cause this rare periodic hypothermia disorder.
Area of Science:
- Neurology
- Endocrinology
Background:
- Shapiro syndrome (SS) is a rare disorder characterized by recurrent, spontaneous hypothermia.
- The exact causes and mechanisms of SS remain poorly understood, with fewer than 100 cases reported.
Observation:
- A 53-year-old woman developed recurrent hypothermia years after a partial right parieto-occipital lobectomy for epilepsy.
- Brain MRI revealed absence of the splenium of the corpus callosum and pituitary hyperplasia.
Findings:
- This is the first reported case of iatrogenic SS, occurring secondary to a neurosurgical procedure.
- The patient's hypothermia episodes were diagnosed as SS after excluding other causes.
Implications:
- The findings suggest that surgical disruption of corpus callosum pathways may cause iatrogenic SS.
- This case provides valuable insights into the potential etiology of Shapiro syndrome and thermoregulation disruptions.
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