Lesson of the Week: Occult intracranial tumours masquerading as early onset anorexia nervosa

Childhood onset anorexia nervosa may be difficult to diagnose because of the lack of clear diagnostic criteria for prepubertal children and because of the difficulty of differentiating psychogenic from organic disease.' Psychological disturbance and symptoms of anorexia without neurological manifestation may also be presenting features of an early intracranial lesion, usually affecting the diencephalon-as shown by the following three cases.Case reports CASE 1