Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Subsequent Central Diabetes Insipidus: A Rare Presentation of Pituitary Apoplexy
Joint Authors
Smedegaard, S. B.
Jørgensen, J. O.
Rittig, N.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Pituitary apoplexy (PA) is a rare endocrine emergency that occasionally presents with sodium disturbances.
Here we present a rare case with a previously healthy 41-year-old female who presented with acute onset headache and nausea without visual impairment or overt pituitary dysfunction.
Plasma sodium concentrations declined abruptly during the first two days of admission to a nadir of 111 mmol/l.
Urine and blood chemistry were consistent with syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Magnetic resonance imaging revealed recent bleeding into a pituitary cystic process.
Hyponatremia was successfully corrected with fluid restriction and both visual function and anterior pituitary function remained intact.
Subsequently, the patient developed central diabetes insipidus (CDI), which responded well to desmopressin substitution.
To our knowledge, this is the first case of PA presenting predominantly with posterior pituitary dysfunction that transitioned from SIADH to permanent CDI.
American Psychological Association (APA)
Smedegaard, S. B.& Jørgensen, J. O.& Rittig, N.. 2019. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Subsequent Central Diabetes Insipidus: A Rare Presentation of Pituitary Apoplexy. Case Reports in Endocrinology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1135808
Modern Language Association (MLA)
Smedegaard, S. B.…[et al.]. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Subsequent Central Diabetes Insipidus: A Rare Presentation of Pituitary Apoplexy. Case Reports in Endocrinology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1135808
American Medical Association (AMA)
Smedegaard, S. B.& Jørgensen, J. O.& Rittig, N.. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Subsequent Central Diabetes Insipidus: A Rare Presentation of Pituitary Apoplexy. Case Reports in Endocrinology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1135808
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135808