We present a patient with a putative diagnosis of ROHHAD with complications from her sleep disordered breathing. [onlinelibrary.wiley.com]

Case Presentation: The first case, 20-year-old female, initially presented to the pediatric endocrinology outpatient care at the age of 9.5 with precocious puberty and obesity since the age of 4 years. [abstracts.eurospe.org]

The majority of children (83.3 %) presented with rapid weight gain during early childhood, while one child presented later at 9.5 years of age. The sequence of SDB phenotypes of each patient is shown in Fig. 1. [ojrd.biomedcentral.com]

Conclusions: Children with ROHHAD may initially present with OSA and only develop NH later as well as dysregulation of breathing during wakefulness. [mendeley.com]

In this paper, we discuss two cases with distinct clinical symptoms who presented for evaluation of obesity. Case Reports Case 1 A 7 years 4 months old girl presented with excessive weight gain. [ncbi.nlm.nih.gov]

• Low Back Pain

  Low back pain (LBP) occurs in up to 50% of elite athletes (Curr Sports Med Rep 3(1):41–46, 2004). The majority are under 40 years of age. [link.springer.com]

  Treatment of Low Back Pain/Lumbar Spine Disorders Low back pain treatment success lands squarely on having the correct diagnosis. Appropriate treatment depends upon what the doctor concludes is the cause of the low back pain. [minneapolisclinic.com]

  Low back pain is very common and affects approximately 70% of people in their lifetime (1). For anyone who has experienced low back pain, it can be very disabling. But sometimes low back pain is not “spine pain.” [sierraregionalspine.com]

  The most common manifestation is chronic low back pain and it may be the cause of between 10 and 30% of such cases. Table 1. [practicalpainmanagement.com]

  Managing Low Back Pain (4th ed.). Philadelphia: Churchill Livingstone. pp. 206–26. a b Sembrano, Jonathan N.; et al. (2009). "How Often Is Low Back Pain Not Coming From the Back?". [en.wikipedia.org]

• Buttock Pain

  Here we describe a case of 27-year-old woman presented with acute onset of back and left buttock pain. [kci.go.kr]

  SYMPTOMS Common SI Joint Pain Symptoms Lower back pain (below L5) Sensation in lower extremity: pain, numbness, tingling, weakness Pelvis/buttock pain Hip/groin pain Feeling of leg instability (buckling, giving way) Disturbed sleep patterns due to pain [si-bone.com]

  The second most common symptom of sacroiliac joint dysfunction is radiating buttock pain. This is reported as a generalized distribution of “achiness” which can radiate into the thigh. [sidysfunction.com]

  The authors of this article have found that in cases in which ischial bursitis is suspected as a substantial component of the patient's buttock pain, local injection of the bursa can be performed either with local anesthetic alone (diagnostic injection [emedicine.medscape.com]

  Other common symptoms include: Lower extremity numbness, tingling and weakness Pelvis / buttock pain Hip / groin pain Unilateral leg instability (buckling, giving way) Disturbed sitting patterns (unable to sit for long periods, on one side) Pain going [nynjcmd.com]

• Spine Pain

  pain ( M54.- ) throat pain ( R07.0 ) tongue pain ( K14.6 ) tooth pain ( K08.8 ) renal colic ( N23 ) pain disorders exclusively related to psychological factors ( F45.41 ) coccyx M53.3 sacroiliac M53.3 Sacralgia M53.3 Sacrodynia M53.3 Schmorl's disease [icd10data.com]

  But sometimes low back pain is not “spine pain.” The sacroiliac joint (SIJ) often can be the pain generator and may be missed if all of the focus is on the lower spine. [sierraregionalspine.com]

  Chapter First Online: 16 April 2010 Abstract Modern sports activities are associated with a high incidence of spine pain. Low back pain (LBP) occurs in up to 50% of elite athletes (Curr Sports Med Rep 3(1):41–46, 2004). [link.springer.com]

  Enbrel is now in clinical trials for the treatment of chronic back pain from OA too....amazing drug that I hope they will soon allow for anyone with chronic spine pain and DDD. About the only thing that seems to help. [healthboards.com]

• Pain In Thoracic Spine

  […] in thoracic spine 724.2 - Lumbago 724.3 - Sciatica 724.4 - Thoracic or lumbosacral neuritis or radiculitis, unspecified 724.5 - Backache, unspecified 724.8 - Other symptoms referable to back 724.9 - Other unspecified back disorders Browse Medical Billing [emedcodes.com]

(See Presentation, Workup, Treatment, and Medication.) [emedicine.medscape.com]

Balancing multiple theoretical approaches and healing paradigms in a diagnostic and treatment context, Alon Marcus offers a sophisticated text for practitioners applying these insights. [books.google.com]

Synopsis This comprehensive monograph is devoted to the surgical treatment of disorders of the sacral region of the spine. Anatomy, physiology and biomechanics are reviewed, and a chapter on the anthropology of the human tail bone is included. [amazon.co.uk]

Treatments differ by disease, but sometimes they include back braces and surgery. [icdlist.com]

Cohen SP (2005) Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg 101(5):1440–1453 PubMed CrossRef Google Scholar 7. [link.springer.com]

complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]

See Answer Source: iStock What is the prognosis of sacroiliac joint dysfunction? The prognosis of sacroiliac joint dysfunction varies depending on the cause of the dysfunction. [medicinenet.com]

Prognosis The long-term outlook is variable. Children who are diagnosed early and appropriately managed can have a relatively good quality of life. [orpha.net]

Prognosis of Symptomatic Tarlov Cysts Those who have progressive and prolonged symptoms run a risk of neurological damage, if the cysts continue to compress nerve structures. [tarlovcystfoundation.org]

Respiratory problems constitute the main predictor of poor prognosis of ROHHAD syndrome. [elsevier.es]

Etiology Etiology is currently unknown. Genetic studies have investigated numerous genes involved in neuronal development as well as candidate genes of hypothalamic and autonomic dysfunction without identifying any specific mutation. [orpha.net]

Neither term specifies the underlying etiology. Coccyx pain can occur from local trauma or a tumor, but many cases are idiopathic, with no identifiable cause. [emedicine.medscape.com]

HCVR testing was performed due to the etiological ambiguity of the patient's hypoventilation (although a cardinal feature of ROHHAD, her hypoventilation may have only been secondary to her severe OSA). [onlinelibrary.wiley.com]

The patient was screened carefully for risk factors and possible etiology (cause). Questions were asked about training, injuries, medications, menstrual cycle, and past medical history. [davisandderosa.com]

Sacroiliac joint ligament injury and subsequent laxity is a unifying etiology that explains how these mundane accidental injuries can result in a biomechanical disorder. [practicalpainmanagement.com]

Summary Epidemiology Fewer than 100 cases have been reported in the medical literature to date. [orpha.net]

An epidemiologic investigation. Am J Sports Med 19(5):463–468 PubMed CrossRef Google Scholar 11. Cappozzo A (1983) Force actions in the human trunk during running. J Sports Med Phys Fitness 23(1):14–22 PubMed Google Scholar 12. [link.springer.com]

[…] as weakness, poor endurance, excessive tension, shortened length and overactivity. [2] Current evidence shows that individuals with low back pain have a significant decrease in pelvic floor function compared to individuals without low back pain. [4] Epidemiology [physio-pedia.com]

However, given the lack of standardized definitions and diagnostic tests as well as epidemiological studies of ROHHAD, the evolution and spectrum of abnormalities is unclear [2, 3]. [ojrd.biomedcentral.com]

We discuss potential pathophysiological implications as well as symptomatic treatment options. [research.tue.nl]

Our findings suggest that the striatum may be implicated in the underlying pathophysiology of IGD. KEYWORDS: Cognitive control; Color-word Stroop task; Internet gaming disorder (IGD); Striatum; Structural magnetic resonance imaging [ncbi.nlm.nih.gov]

Although the pathophysiology of this syndrome remains unclear, an autoimmune hypothesis has been proposed for ROHHAD. [elsevier.es]

The male pelvis is more densely packed which allows for faster proprioceptive overflow and muscle recruitment. [9] Differential Diagnosis PFD and LBP are difficult to diagnose because they present many challenges due to poor association between pathophysiology [physio-pedia.com]

] rheumatoid arthritis, or an infection. [ citation needed ] Pathophysiology [ edit ] The sacroiliac joint is a true diarthrodial joint that joins the sacrum to the pelvis. [1] [8] [15] [16] The sacrum connects on the right and left sides to the ilia [en.wikipedia.org]

Keep in mind, though, that the best cure for sacroiliac dysfunction is prevention. [yogajournal.com]

Prompt treatment can prevent the injury from causing further problems. [cancercarewny.com]

These treatments can minimize the SI joint pain and prevent destruction of the joints. [medicinenet.com]