Hypothalamic adipsic syndrome: diagnosis and management.
Patients with hypothalamic adipsic syndrome, especially in conjunction with diabetes insipidus, pose management difficulties. They are at risk of both under- and over-hydration. We present 4 patients with hypothalamic adipsic syndromes, due to different causes, illustrating the practical difficulties encountered in this condition. The principles of management, with a sliding scale of water intake related to changes in daily body weight, are discussed.
Ball
S G
SG
Department of Medicine (Endocrinology), Royal Victoria Infirmary, Newcastle upon Tyne, UK. nsgb%ALBA@newcastle.ac.uk
Vaidja
B
B
Baylis
P H
PH
D000293:Adolescent; D000328:Adult; D001932:Brain Neoplasms / Q000150:complications; D002543:Cerebral Hemorrhage / Q000150:complications; D002648:Child; D003131:Combined Modality Therapy; D004326:Drinking; D005260:Female; D006801:Humans; D007027:Hypothalamic Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D009994:Osmolar Concentration; D010468:Perceptual Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010870:Pineal Gland; D010911:Pituitary Neoplasms / Q000150:complications; D013345:Subarachnoid Hemorrhage / Q000150:complications; D013577:Syndrome; D013894:Thirst