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Hypodipsic hypernatremia and diabetes insipidus following anterior communicating artery aneurysm clipping : diagnostic and therapeutic challenges in the amnestic rehabilitation patient
NGUYEN BN; YABLON SA; CHEN CY
BRAIN INJ , 2001, vol. 15, n° 11, p. 975-980 Doc n°: 102859 Localisation : Documentation IRR Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, GA - DIABETE Hypodipsic hypernatremia (HH) represents a pathological increase in serum sodium due to a lack of thirst and defect in hypothalamic osmoreceptors. While 15% of patients with HH have a vascular aetiology, few cases have been described. Moreover, the presence of such abnormalities in the amnestic patient can have particularly threatening implications, as HH tends to recur unless the patient complies with a regimen of water intake. This study reports the case of a 46-year-old male admitted for rehabilitation of functional deficits following subarachnoid haemorrhage (SAH), with clipping of an anterior communicating artery (ACoA) aneurysm. Clinical examination was remarkable for profound short-term memory loss and inability to retain new information. Blood chemistry on admission showed a serum sodium level Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2001219327 |
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