Morgagni Stewart Morel Syndrome
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Morgagni-Stewart-Morel syndrome is a condition with a wide range of associated
endocrine The endocrine system is a messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In vertebrates, the hypothalamus is the neu ...
problems including:
diabetes mellitus Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
,
diabetes insipidus Diabetes insipidus (DI), recently renamed to Arginine Vasopressin Deficiency (AVP-D) and Arginine Vasopressin Resistance (AVP-R), is a condition characterized by large amounts of dilute urine and increased thirst. The amount of urine produce ...
, and
hyperparathyroidism Hyperparathyroidism is an increase in parathyroid hormone (PTH) levels in the blood. This occurs from a disorder either within the parathyroid glands (primary hyperparathyroidism) or as response to external stimuli (secondary hyperparathyroidism). ...
. Other signs and symptoms include
headache Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result ...
s,
vertigo Vertigo is a condition where a person has the sensation of movement or of surrounding objects moving when they are not. Often it feels like a spinning or swaying movement. This may be associated with nausea, vomiting, sweating, or difficulties w ...
,
hirsutism Hirsutism is excessive body hair on parts of the body where hair is normally absent or minimal. The word is from early 17th century: from Latin ''hirsutus'' meaning "hairy". It usually refers to a "male" pattern of hair growth in a female that ...
,
menstrual disorder A menstrual disorder is characterized as any abnormal condition with regards to a person's menstrual cycle. There are many different types of menstrual disorders that vary with signs and symptoms, including pain during menstruation, heavy bleeding ...
,
galactorrhoea Galactorrhea ( also spelled galactorrhoea) ( galacto- + -rrhea) or lactorrhea ( lacto- + -rrhea) is the spontaneous flow of milk from the breast, unassociated with childbirth or nursing. Galactorrhea is reported to occur in 5–32% of women. M ...
,
obesity Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's we ...
, depression, and
seizures An epileptic seizure, informally known as a seizure, is a period of symptoms due to abnormally excessive or neural oscillation, synchronous neuronal activity in the brain. Outward effects vary from uncontrolled shaking movements involving much o ...
. Thickening of the inner table of the frontal part of the skull a usually benign condition known as
hyperostosis frontalis interna Hyperostosis frontalis interna is a common, benign thickening of the inner side of the frontal bone of the skull. It is found predominantly in women after menopause and is usually asymptomatic. Mostly frequently it is found as an incidental findi ...
. The syndrome was first described in 1765. It is named after the Italian anatomist and pathologist
Giovanni Battista Morgagni Giovanni Battista Morgagni (25 February 1682 – 6 December 1771) was an Italian anatomist, generally regarded as the father of modern anatomical pathology, who taught thousands of medical students from many countries during his 56 years as Prof ...
, the British neurologist Roy Mackenzie Stewart, and the Swiss psychiatrist Ferdinand Morel.


Cause


Diagnosis

The diagnosis of Morgagni-Stewart-Morel is based upon a radiological finding of
hyperostosis frontalis interna Hyperostosis frontalis interna is a common, benign thickening of the inner side of the frontal bone of the skull. It is found predominantly in women after menopause and is usually asymptomatic. Mostly frequently it is found as an incidental findi ...
. Diagnosis considers a combination of clinical features includin
obesity
virilism, and mental disturbances.


Treatment

Treatment is based upon the symptoms, and generally includes medication, diet and lifestyle modification for weight control. Seizures and headaches associated with hyperostosis frontalis interna (HFI) are treated with standard medications.


References


External links

{{Medical resources , DiseasesDB = , ICD10 = M85.2 , ICD9 = , ICDO = , OMIM = 144800 , MedlinePlus = , eMedicineSubj = , eMedicineTopic = , MeshID = , Orphanet = 77296 Syndromes affecting the endocrine system Syndromes with seizures