In tuberculous meningitis the site of the maximal infection and of the most dense exudate is the basal cisterns, particularly the cisterna chiasmatis and the cisterna ambiens. This exudate may lead to obstruction of the cerebrospinal fluid pathways, which can be readily demonstrated by pneumoencephalograms (Lorber, 1951). Calcification of this exudate occurs in a large proportion of children wh...

Two brothers with DIDMOAD syndrome are reported. The older brother has diabetes mellitus (type I), diabetes insipidus, optic atrophy, deafness and atonia of the urinary tract with severe symptoms such as diabetic ketoacidosis and frequent urinary tract infections. His younger brother had the same manifestations but with less severity. We report the findings of our two patients and compare ...

Central diabetes insipidus is a very common disorder after brain surgery or/trauma or even in the presence of brain inflammatory diseases. Polyuria and polydipsia are the clinical markers, but sometimes clinical situations are presenting with no thirst. These are not frequent but are life-treating conditions. Diagnosis is not easy, and for this reason some cases are treated late. We describe he...

Background In breast-fed neonates, hypernatremia may occur from inadequate breast milk production, central or nephrogenic diabetes insipidus, gastroenteritis, or salt poisoning. Hypernatremic dehydration is a known risk factor for cerebral sinus thrombosis and death. We report a breastfed neonate with hypernatremic dehydration, diabetes insipidus, cerebral sinus thrombosis, and disseminated int...