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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ometendo</journal-id><journal-title-group><journal-title xml:lang="ru">Ожирение и метаболизм</journal-title><trans-title-group xml:lang="en"><trans-title>Obesity and metabolism</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2071-8713</issn><issn pub-type="epub">2306-5524</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/omet2018143-49</article-id><article-id custom-type="elpub" pub-id-type="custom">ometendo-9435</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Случай из практики</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Ожирение и кахексия в качестве первых проявлений папиллярной краниофарингиомы</article-title><trans-title-group xml:lang="en"><trans-title>Obesity and cahexia as the first manifestations of craniopharingioma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4480-1902</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Астафьева</surname><given-names>Людмила Игоревна</given-names></name><name name-style="western" xml:lang="en"><surname>Astafieva</surname><given-names>Liudmila I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н.</p></bio><bio xml:lang="en"><p>Sc.D.</p></bio><email xlink:type="simple">last@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7440-4687</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клочкова</surname><given-names>Ирина Сергеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Klochkova</surname><given-names>Irina S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач</p></bio><email xlink:type="simple">IKlochkova@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9333-9473</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинин</surname><given-names>Павел Львович</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinin</surname><given-names>Pavel L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., заведущий 8 отделением</p></bio><bio xml:lang="en"><p>Sc.D.</p></bio><email xlink:type="simple">pkalinin@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8344-3381</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кадашев</surname><given-names>Борис Александрович</given-names></name><name name-style="western" xml:lang="en"><surname>Kadashev</surname><given-names>Boris A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, главный научный сотрудник</p></bio><bio xml:lang="en"><p>Sc.D., Professor</p></bio><email xlink:type="simple">Kadashev@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коновалов</surname><given-names>Александр Николаевич</given-names></name><name name-style="western" xml:lang="en"><surname>Konovalov</surname><given-names>Aleksandr N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, академик РАН, научный руководитель ФГАУ НМИЦН РФ</p></bio><bio xml:lang="en"><p>Sc.D., prof., academician of RAS</p></bio><email xlink:type="simple">AKonovalov@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5323-1000</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фомичев</surname><given-names>Дмитрий Владиславович</given-names></name><name name-style="western" xml:lang="en"><surname>Fomichev</surname><given-names>Dmitrii V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., старший научный сотрудник</p></bio><bio xml:lang="en"><p>PhD</p></bio><email xlink:type="simple">dfomichev@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6520-4296</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кутин</surname><given-names>Максим Александрович</given-names></name><name name-style="western" xml:lang="en"><surname>Kutin</surname><given-names>Maksim A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., старший научный сотрудник </p></bio><bio xml:lang="en"><p>PhD</p></bio><email xlink:type="simple">kutin@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3777-5662</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шарипов</surname><given-names>Олег Ильдарович</given-names></name><name name-style="western" xml:lang="en"><surname>Sharipov</surname><given-names>Oleg I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н.</p></bio><bio xml:lang="en"><p>PhD</p></bio><email xlink:type="simple">osharipov@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2733-5874</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сиднева</surname><given-names>Юлия Геннадьевна</given-names></name><name name-style="western" xml:lang="en"><surname>Sidneva</surname><given-names>Ylia G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н.</p></bio><bio xml:lang="en"><p>PhD</p></bio><email xlink:type="simple">ysidneva@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7726-2242</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яценко</surname><given-names>Дина Александровна</given-names></name><name name-style="western" xml:lang="en"><surname>Yatsenko</surname><given-names>Dina A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач</p></bio><bio xml:lang="en"><p>MD</p></bio><email xlink:type="simple">dinochka-d@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0327-4619</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дзеранова</surname><given-names>Лариса Константиновна</given-names></name><name name-style="western" xml:lang="en"><surname>Dzeranova</surname><given-names>Larisa K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н, главный научный сотрудник</p></bio><bio xml:lang="en"><p>Sc.D</p></bio><email xlink:type="simple">dzeranovalk@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>&lt;p&gt;ФГАУ &amp;laquo;Нaциональный медицинский исследовательский центр нейрохирургии имени академика Н.Н. Бурденко&amp;raquo; Минздрава РФ&lt;/p&gt;</institution><country>Россия</country></aff><aff xml:lang="en"><institution>&lt;p&gt;N.N. Burdenko National Medical Research Center of Neurosurgery&lt;/p&gt;</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>&lt;p&gt;ФГБОУ ДПОРМАНПО Минздрава РФ&lt;/p&gt;</institution><country>Россия</country></aff><aff xml:lang="en"><institution>&lt;p&gt;FGBU RMANPO&lt;/p&gt;</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>&lt;p&gt;ФГБУ &amp;laquo;Нaциональный медицинский исследовательский центр эндокринологии&amp;raquo; Минздрава России&lt;/p&gt;</institution><country>Россия</country></aff><aff xml:lang="en"><institution>&lt;p&gt;Endocrinology Research Centre&lt;/p&gt;</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>25</day><month>04</month><year>2018</year></pub-date><volume>15</volume><issue>1</issue><fpage>43</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Астафьева Л.И., Клочкова И.С., Калинин П.Л., Кадашев Б.А., Коновалов А.Н., Фомичев Д.В., Кутин М.А., Шарипов О.И., Сиднева Ю.Г., Яценко Д.А., Дзеранова Л.К., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Астафьева Л.И., Клочкова И.С., Калинин П.Л., Кадашев Б.А., Коновалов А.Н., Фомичев Д.В., Кутин М.А., Шарипов О.И., Сиднева Ю.Г., Яценко Д.А., Дзеранова Л.К.</copyright-holder><copyright-holder xml:lang="en">Astafieva L.I., Klochkova I.S., Kalinin P.L., Kadashev B.A., Konovalov A.N., Fomichev D.V., Kutin M.A., Sharipov O.I., Sidneva Y.G., Yatsenko D.A., Dzeranova L.K.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.omet-endojournals.ru/jour/article/view/9435">https://www.omet-endojournals.ru/jour/article/view/9435</self-uri><abstract><p>Ключевой структурой в регуляции энергетического гомеостаза является гипоталамус. Поражение гипоталамической области может приводить к дисбалансу энергообмена с развитием ожирения или кахексии. Наиболее часто обменные нарушения встречаются при краниофарингиомах. В статье представлены два клинических наблюдения папиллярной краниофарингиомы (КФ) у молодых женщин. Оба случая сопровождались нарушением энергетического баланса, в одном – с развитием ожирения, в другом – кахексии.</p></abstract><trans-abstract xml:lang="en"><p>The key structure in the regulation of energy homeostasis is the hypothalamus. The damage of the hypothalamic region can lead to imbalance of energy exchange with the development of obesity or cachexia. The most common metabolic disorders occur in case of craniopharyngiomas. The article presents two clinical observations of papillary craniopharyngioma in young women. Cases were accompanied by different disturbances of the energy balance, in one - with the development of obesity, in the other - cachexia.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>краниофарингиома</kwd><kwd>диэнцефальная кахексия</kwd><kwd>диэнцефальное ожирение</kwd><kwd>синдром Рассела</kwd><kwd>опухоль гипоталамуса</kwd><kwd>гипопитуитаризм</kwd><kwd>несахарный диабет</kwd></kwd-group><kwd-group xml:lang="en"><kwd>craniopharyngioma</kwd><kwd>diencephalic cachexia</kwd><kwd>diencephalic obesity</kwd><kwd>Russell's syndrome</kwd><kwd>hypothalamic tumor</kwd><kwd>hypopituitarism</kwd><kwd>diabetes insipidus</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Kalra SP, Dube MG, Pu S, et al. Interacting Appetite-Regulating Pathways in the Hypothalamic Regulation of Body Weight1. Endocr. 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