An 11-year-old girl with syndrome of inappropriate antidiuretic hormone secretion.
An 11-year-old girl presented with a syndrome of inappropriate antidiuretic hormone secretion, which was transitory and, initially, of obscure origin. Subsequently, the patient's hypothalamic disorder emerged as a component of a steroid-responsive relapsing encephalomyelitis with cerebral pathology restricted to the basal ganglia and brainstem. Where such a disorder fits in the spectrum from acute disseminating encephalomeylitis to multiple sclerosis is discussed.
Breningstall
G N
GN
Department of Pediatrics (Neurology), Park Nicollet Medical Center, Minneapolis, MN 55404, USA.
D000639:Amitriptyline / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology*; D002648:Child; D003937:Diagnosis, Differential; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D009103:Multiple Sclerosis / Q000175:diagnosis; D010292:Paresthesia / Q000188:drug therapy / Q000209:etiology; D013116:Spinal Cord / Q000473:pathology
D018712:Analgesics, Non-Narcotic; D000893:Anti-Inflammatory Agents; D000639:Amitriptyline; D008775:Methylprednisolone