Central Diabetes Insipidus: A Rare Perioperative Cause of Severe Hypernatraemia
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چکیده
منابع مشابه
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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Renal toxicity of long-term lithium therapy is a common problem. Nephrogenic diabetes insipidus is the most frequently encountered complication, but often remains unrecognised because of the rather benign symptoms. We present a patient with long-term lithium therapy who developed life-threatening hypernatraemia due to insufficient oral fluid intake after elective spinal surgery. Careful daily s...
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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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متن کاملCentral diabetes insipidus
Central diabetes insipidus (CDI), characterized by polyuria and polydipsia, is caused by deficiency of arginine vasopressin (AVP), an antidiuretic hormone which acts on V2 receptors in kidney to promote reabsorption of free water. CDI is classified into three subtypes; idiopathic, secondary and familial. A previous study suggests that infundibulo-neurohypophysitis might be an underlying cause o...
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ژورنال
عنوان ژورنال: Anaesthesia and Intensive Care
سال: 2008
ISSN: 0310-057X,1448-0271
DOI: 10.1177/0310057x0803600215