Head Injury Complicated by Diabetes Insipidus Due to Direct Injury to Hypothalamus. A Pediatric Case Report.
スポンサーリンク
概要
- 論文の詳細を見る
A 3-year-old girl was injured in a traffic accident. She suffered traumatic subarachnoid hemorrhage, pneumocephalus and multiple skull fractures including the skull base. Polyuria appeared 8 hours after injury. Urinalysis revealed that osmolarity was 122 mOsmol. The diagnosis of post-traumatic diabetes insipidus was determined, and continuous intravenous infusion of ADH (antidiuretic hormone) was started. Because interruption of ADH infusion resulted in polyuria, administration of ADH continued until the 77th hospital day. She was discharged on the 336th hospital day in a persistent vegetative state. T2-weighted magnetic resonance imaging revealed high intensity with contrast enhancement at the hypothalamus. Endocrine findings revealed hypopituitarism due to insufficient hypothalamus function. With these findings, we concluded that direct injury to hypothalamus resulted in diabetes insipidus.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
- Emergency Endovascular Repair for a Ruptured Abdominal Aortic Aneurysm Patient
- Degree of injury severity of the traffic accident autopsy cases.
- タイトル無し
- The Effect of Antithrombin III on Cytokine Production in Endotoxemic Rats.
- Antithrombin III Effects on the Production of Vasoactive Substances in Endotoxemic Rats.