A neurosurgeon dropped his kid to the school then there he saw a child with uncontrollable laughing and precocious pubey. When he again went to the school in capital parents teachers meeting, he talked to the father of that boy and advised him to get an In1R1 done and the diagnosis was confirmed. What is the most probable diagnosis

Ans. a. Hypothalamic hamaoma Uncontrollable laughing and precocious pubey are suggestive of hypothalamic hamaoma. Hypothalamic Hamaoma Central precocious pubey staing before the age 3 years is often due to hypothalamic hamaomaQ . Seizures, especially laughing spells (gelastic seizures)deg are seen in children with hypothalamic hamaoma. Hypothalamic Hamaoma Central precocious pubey staing before the age 3 years is often due to hypothalamic hamaomaQ Hypothalamic hamaoma picked up by MRIQ Seizures, especially laughing spells (gelastic seizures)Qare seen in children with hypothalamic hamaoma Precocious Pubey Central precocious pubey is a.lso known as true precocious pubeyQ, peripheral precocious pubey is called pseudo-precocious pubeyQ. McCune-Albright syndrome causes pseudo-precocious pubey (Peripheral precocious pubey).