Reproductive endocrinology

Reconsidering the olfactory and brain structures in Kallmann's syndrome: New findings in the analysis of volumetry

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

Olfactory assessment and MRI proved to be important auxiliary tools for the diagnosis and management of patients with KS. New studies are needed to confirm the decrease in brainstem volume found by the Freesurfer software in patients with KS. Further studies are needed to confirm the decrease in brainstem volume found by the Freesurfer software in patients with KS.

Study context

Population
Adults with Kallmann's syndrome evaluated by olfactory Sniffin' Stick test and brain magnetic resonance imaging (MRI) with Freesurfer volumetry
Participants
17 vs 34
Exposure
Kallmann's syndrome (KS) patients vs healthy controls
  • KSn = 17
  • Controlsn = 34reference
Outcome
Olfactory function and MRI findings in KS
Methodological detailscase-control comparison, matched for age and sex
  • Case-control comparison
  • Matched for age and sex

Main finding

As reported in the abstract

Changes in olfactory groove on MRI
16 patients
Olfactory bulb-tract complex altered
all patients
Symmetrical structural changes
52%
Normal pituitary gland
29%

Observational data: associations, not effects.

Further findings

Anosmia by symmetry of olfactory structural changes

P = 0.0294

Brainstem volume by anterior olfactory sulcus status · Aplastic anterior olfactory sulcus vs Hypoplasia · lower brainstem volume with aplasia
P = 0.0333

Original publication

Reconsidering the olfactory and brain structures in Kallmann's syndrome: New findings in the analysis of volumetry. Clin Endocrinol (Oxf). Published 25 December 2022. doi:10.1111/cen.14868

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