Generalized status epilepticus associated with massive pulmonary aspiration and transient central diabetes insipidus: case report.
Status epilepticus causes significant morbidity and mortality. A case of generalized status epilepticus followed by massive pulmonary aspiration, acute respiratory failure and transient central diabetes insipidus is presented. Seizures were promptly controlled, but the patient required mechanical ventilation and correction of polyuria with desmopressin acetate. During hospitalization mental status improved, diabetes insipidus spontaneously remitted and he was discharged without neurologic sequelae. The clinical and pathophysiological features of this case are discussed.
Carvalho
M
M
Serviço de Emergência Central, Hospital de Clínicas, Universidade Federal do Paraná. carvalho@mais.sul.com.br
Mayer
J R
JR
Rocha
M R
MR
Kruger
R
R
Titton
J A
JA
D000208:Acute Disease; D000328:Adult; D003919:Diabetes Insipidus / Q000150:complications*; D006801:Humans; D008297:Male; D011015:Pneumonia, Aspiration / Q000150:complications*; D012131:Respiratory Insufficiency / Q000150:complications; D013226:Status Epilepticus / Q000209:etiology*; D014667:Vasopressins / Q000378:metabolism
D014667:Vasopressins