A Case of Central Diabetes Insipidus with Growth Hormone Deficiency and Loss of Hyperintense Signal in the Posterior Lobe.
- Author:
Soon Cheul HONG
;
In Seok LIM
- Publication Type:Case Report
- Keywords:
Idiopathic central diabetes insipidus;
Growth hormone deficiency;
Posterior pituitary hyperintence signal
- MeSH:
Adolescent;
Arginine Vasopressin;
Brain;
Child;
Diabetes Insipidus, Neurogenic*;
Diagnosis;
Follow-Up Studies;
Growth Hormone*;
Humans;
Magnetic Resonance Imaging;
Pituitary Gland
- From:Journal of Korean Society of Pediatric Endocrinology
2002;7(2):221-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central diabetes insipidus is a rare disorder that can result as a consequence of diverse etiologies, including malformations, autoimmune, infiltrative(e.g. neoplastic or histiocytosis) or traumatic processes, as well as mutations in the gene encoding arginine vasopressin. Idiopathic central diabetes insipidus is a diagnosis of exclusion, one that has been made less frequently through the decades. Idiopathic central diabetes insipidus in children and adolescent requires a frequent follow-up regimen using serial brain MRI and CSF examinations especially if an isolated pituitary stalk thickening or loss of a hyperintense signal in the posterior lobe is observed. Also, so-called "idiopathic" central diabetes insipidus warrants close follow-up to determine the etiology, especially if anterior pituitary hormone deficiencies are detected. We report a case of idiopathic central diabetes insipidus with growh hormone deficiency and loss of a hyperintense signal in the posterior lobe. He is a 13 years old. We are scheduled to follow-up with serial contrast enhanced brain MRI and CSF evaluation for the early detection of an evolving occult hypothalamic-stalk lesion.
