Research Article

Rapid-Onset Obesity with Hypoventilation, Hypothalamic, Autonomic Dysregulation, and Neuroendocrine Tumors (ROHHADNET) Syndrome: A Systematic Review

Table 2

Summary profiles of aggregate patient data of ROHHADNET syndrome (case-series and cohorts).

Author, yearN° patients Age (yr)Sex (M/F)Rapid obesityHypothalamic dysfunction (N° patients)Hypoventilation (N° patients)Autonomic dysregulation (N° patients)Behavioral changes (N° patients)Neurologic symptoms (N° patients)Neuroendocrine tumors (N° patients)Other findings (N° patients)Na (mmol/L) (N° patients)Treatment (N° patients)Outcome (N° patients)

Gil, 2012 [44]5--YesYes(5), hypothyroidism(1), adrenal insufficiency(1),
precocious puberty(1)
Central apnea(2), transient obstructive apnea(2)Yes(5)Yes(2)NoGanglio-neuroma
(3)
No--Death(1)

Reppucci, 2014 [45]78.3
(4.7~10.1)
-YesNoYes(3), sleep apnea(5)NoNoNoYesNo--Alive

Barclay, 2016 [51]164.3-NoYes(16)Yes(16),Yes(16)NoNoYes(7)No-Artificial ventilation(16)Alive

Biancheri, 2013 [46]6-2/4YesHypothyroidism(5),
adrenal insufficiency(2),
precocious puberty(2)
Central apnea(4)NoYes(6)NoNoNoElectrolyte imbalance (6)-Alive

Napoli, 2014 [47]62~4-YesHypothyroidism(5),
adrenal insufficiency(3),
precocious puberty(2)
Central apnea(4)NoYes(6)NoNoNoElectrolyte imbalance (6)Non-invasive ventilationAlive

Napoli, 2014 [47]7--Yes(7)Hypothyroidism(6),
adrenal insufficiency(4),
precocious puberty(2)
Sleep apnea(7)NoYes(7)NoGanglio-neuroma
(3)
No--Alive

Ize-Ludlow, 2007 [6]15-6/9Yes(8)Hypothyroidism(5), adrenal insufficiency(4),
precocious puberty(2),
delayed puberty(2), amenorrhea(1), irregular menstruation(1),
premature adrenarche(2), hypogonadism(1),
SIADH(2), polydipsia(8), hypodipsia(4), polyuria(4)
Alveolar hypoventilation
(15). sleep apnea(8), cyanosis(4)
Ophthalmologic manifestations
(13), thermal dysregulation
(11), GI dysmotility(10), Altered pain perception(8),
altered sweating(8), cold extremity(6)
Depression(2),
flat effect(2), psychosis(2), behavioral outbursts(1),
bipolar disorder(1), emotional lability(1),
OCD(1), oppositional-defiant disorder(1),
Tourette’s syndrome(1), hallucination(1)
Syncope(1),
developmental delay(3), regression(3), seizure(5), hypotonia (4)
Yes(5)Scoliosis(3), type 2 DM(2), enuresis(4), asthma(3), hyper-somnolence(2), pneumonia(2)HyperNa (7), hypoNa (2)-Cardiac arrest(9)

Barclay, 2015 [48]35-14/21YesYes(35)Yes(35)Yes(35)NoNoYes(15)No-Artificial ventilation (35)Alive

Gueorguieva, 2011 [49]90~4-NoHypogonadism(4)Yes(9)Yes(9)Mental retardation(4)NoGanglio-neuroma
(6)
NoMean 150-Death (2)

Abel, 2010 [50]4-1/3YesNoAlveolar hypoventilationThermal dysregulation, cold extremity, altered pain perceptionEmotional lability, behavioral outburstNoNoNo--Alive