Refractory diabetes insipidus following drainage of chronic subdural haematoma

Title
Refractory diabetes insipidus following drainage of chronic subdural haematoma
Author
정진환
Keywords
Chronic subdural haematoma; diabetes inspidus; head injury; mechanism; TRAUMATIC BRAIN-INJURY; DYSFUNCTION; VASOPRESSIN; RECURRENCE; COMPLEX
Issue Date
2013-07
Publisher
INFORMA HEALTHCARE, TELEPHONE HOUSE, 69-77 PAUL STREET, LONDON EC2A 4LQ, ENGLAND
Citation
Brain Injury, Vol.27, No.9 [2013], p1087-1089
Abstract
Background: Post-traumatic diabetes insipidus (DI) is a relatively common complication after head injury. The authors report a fatal case of refractory DI, which developed in a patient with chronic subdural haematoma.Case history: A 38-year-old woman presented to the emergency room with a headache for over a week. She was alert and neurological examination demonstrated no significant deficits or external wounds in her head. Brain computed tomography (CT) scans revealed a small amount of chronic subdural haematoma bilaterally. She was treated conservatively and her hospital course was uneventful until she developed a convulsive seizure and mental change on the 3rd day after admission. Immediate follow-up CT scans showed no significant change in the amount of haemorrhage except effacement of gyral marking. Bilateral trephination and drainage of the haematoma were performed immediately. Post-operatively, she developed a refractory DI and was managed in the intensive care unit. However, she died on the 6th day after the operation ultimately.Conclusion: The authors emphasize the importance of timely drainage of chronic subdural haematoma to prevent a fatal endocrinologic complication after head injury. This study also discusses the possible mechanism of DI after head injury, management and review of the pertinent literatures.
URI
http://www.tandfonline.com/doi/full/10.3109/02699052.2013.794967http://hdl.handle.net/20.500.11754/45400
ISSN
0269-9052
DOI
10.3109/02699052.2013.794967
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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