title: [Etiological diagnosis of central diabetes insipidus: about 41 cases].
abstract: The occurrence of polyuria-polydipsia syndrome with hypotonic urine requires careful diagnostic strategy. This study aims to evaluate diagnostic modalities for central diabetes insipidus. We conducted a retrospective study of 41 cases with central diabetes insipidus (CDI). Data were collected at the Department of Endocrinology, University Hospital La Rabta, Tunis, from 1990 to 2013. We identified the circumstances for detecting CDI, the abnormalities in anterior pituitary assessment and pituitary imaging. CDI occurred in the postoperative period in 20 patients. The average urine 24-hour volume was significantly higher in patients with CDI outside a surgical setting. Water deprivation test was successful in all patients who benefited from it. Outside of neurosurgery, infiltration causes were found in 6 patients and tumor causes were found in 6 patients. CDI was associated with empty sella turcica in 1 case and idiopathic sella turcica in 3 patients. Hypothalamic-pituitary magnetic resonance imaging and anterior pituitary balance sheet are systematic outside pituitary surgery setting and obvious primary polydipsia.
authors.affiliation: Department of Endocrinology and Diabetes, Rabta University Hospital, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Fatma
authors.initials: F
authors.lastname: Chaker
authors.affiliation: Department of Endocrinology and Diabetes, Rabta University Hospital, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Melika
authors.initials: M
authors.lastname: Chihaoui
authors.affiliation: Department of Endocrinology and Diabetes, Rabta University Hospital, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Meriem
authors.initials: M
authors.lastname: Yazidi
authors.affiliation: Department of Endocrinology and Diabetes, Rabta University Hospital, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Hedia
authors.initials: H
authors.lastname: Slimane
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D020790:Diabetes Insipidus, Neurogenic / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007031:Hypothalamus / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D010902:Pituitary Gland / Q000000981:diagnostic imaging; D059606:Polydipsia / Q000209:etiology*; D011141:Polyuria / Q000209:etiology*; D012189:Retrospective Studies; D014416:Tunisia; D055815:Young Adult
keywords: Central diabetes insipidus; magnetic resonance imaging; surgery