Problems

Age

HDL/LDL

Socioeconomic

EFA deprived diet

Morbidity

Treatment outcome

Empty sella/hypopituitarism

76 years

28/68 mg/dl

Rich, educated, affluent society, high caste brahmin

Essential fatty acids deprived diet was strictly adhered to for >40 years

hypotension, lethargy, drowsiness, hyponatremia, infertility

Improved dramatically with hydrocortisone treatment, Essential fatty acids rich diet.

Platybasia

17 years

21/86 mg/dl

Rich, educated, affluent society, high caste brahmin

Essential fatty acids deprived diet for ~16 years

Hypotension, swaggering gait, vomiting, sweating, past surgery for widening of foramina of skull base

Foramen magnum constriction, leading to cerebral, brainstem edema, and she expired bone metabolism ineffective.