title: Management of adipsia by a behavioural modification technique.
abstract: Adipsia combined with diabetes insipidus after hypothalamic damage may produce major difficulties in clinical management. If there is an associated memory impairment it may be impossible to teach self-regulation of fluid balance, necessitating long-term hospital supervision. The successful use of a behaviour modification technique to achieve independent drinking and allow discharge from hospital into the community is described in a patient with adipsia, diabetes insipidus and memory impairment resulting from the removal of a craniopharyngioma.
authors.affiliation: Regional Neurological Rehabilitation Unit, Homerton Hospital, London, UK.
authors.forename: S
authors.initials: S
authors.lastname: Johnston
authors.forename: J
authors.initials: J
authors.lastname: Burgess
authors.forename: T
authors.initials: T
authors.lastname: McMillan
authors.forename: R
authors.initials: R
authors.lastname: Greenwood
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D001925:Brain Damage, Chronic / Q000503:physiopathology / Q000628:therapy; D003397:Craniopharyngioma / Q000601:surgery*; D003919:Diabetes Insipidus / Q000503:physiopathology / Q000628:therapy*; D004326:Drinking / Q000502:physiology; D005260:Female; D006801:Humans; D007032:Hypothalamus, Anterior / Q000503:physiopathology; D011939:Mental Recall / Q000502:physiology; D009483:Neuropsychological Tests; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D013894:Thirst / Q000502:physiology; D014882:Water-Electrolyte Balance / Q000502:physiology