A rare cause of acute hypernatraemia: Diabetes insipidus secondary to suprasellar tuberculoma

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Langerhans Cell Histiocytosis: A Rare Cause of Central Diabetes Insipidus

Central diabetes insipidus (CDI) is a disorder that is characterized by polyuria, polydipsia and the presence of hypotonic urine as a result of the inability to secrete or to synthesize vasopressin in the neurohypophyseal system [1]. The etiology of CDI comprises a variety of diseases that infiltrate and destroy the posterior pituitary, pituitary stalk, or hypothalamus. We report two young wome...

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The dilemma of diagnosing the cause of hypernatraemia: drinking habits vs diabetes insipidus.

Fortunately, hypernatraemia is not a common problem, occurring in <1% of patients in an acute care hospital. It is serious, however, as hypernatraemia is correlated with a high mortality rate [1]. A major reason that hypernatraemia is so rare in conscious adults is the presence of powerful, highly regulated responses to a rise in plasma osmolality, namely thirst and anti-diuretic hormone (ADH) ...

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Suprasellar tuberculoma presenting as panhypopituitarism.

Suprasellar tuberculomas are exceptionally rare. We present the case of a middle aged male who presented with generalised apathy and meningism of two weeks duration. Neuroimaging was suggestive of tuberculomas in suprasellar cistern, while endocrinological investigation showed panhypopituitarism manifesting as pituitary hypothyroidism, hypocortisolism, and hyperprolactinemia. Cerebrospinal flui...

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Diabetes insipidus secondary to hydrocephalus.

Sir, I note with interest the recent report by Dr Menzies et al. of a patient with cranial diabetes insipidus secondary to arrested hydrocephalus.1 In his discussion he did not identify any previously reported cases of diabetes insipidus secondary to hydrocephalus. I recently reported a patient with diabetes insipidus which developed after subarachnoid haemorrhage.2 In the discussion, I noted a...

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Suprasellar ectopic pituitary adenoma presenting as cranial diabetes insipidus.

We describe the occurrence of a supracellar ectopic pituitary adenoma in a 34 year old woman who presented with cranial diabetes insipidus and subsequently developed galactorrhoea-amenorrhoea. The tumour was demonstrated by both contrast computed tomography scan and magnetic resonance imaging with gadolinium enhancement and was confirmed at operation. Histological examination showed that the su...

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ژورنال

عنوان ژورنال: Proceedings of Singapore Healthcare

سال: 2020

ISSN: 2010-1058,2059-2329

DOI: 10.1177/2010105820978669