Korean J Med > Volume 77(5); 2009 > Article
The Korean Journal of Medicine 2009;77(5):1217-1221.
A case of adipsic hypothalamic diabetes insipidus after clipping of an anterior communicating artery aneurysm
Jong Bin Park, Ae Ryung Jin, Tae Yang Yu, Hye Jung Noh, Moon Young Lee, Byoung Hyun Park, Chung Gu Cho
전교통 동맥류 결찰술 후 발생한 무갈증을 동반한 중추성 요붕증 1예
박종빈·진애령·유태양·노혜정·이문영·박병현·조정구, Ae Ryung Jin, Tae Yang Yu, Hye Jung Noh, Moon Young Lee, Byoung Hyun Park, Chung Gu Cho
Abstract
Central diabetes insipidus and adipsic disorders are often accompanied by abnormalities such as hypothalamic lesion. The development of hypothalamic diabetes insipidus with adipsia after clipping of an anterior communicating artery aneurysm has rarely been reported. Recently, we experienced a 52-year-old woman who presented with adipsia, polyuria, and hypernatremia after clipping of a ruptured aneurysm in the anterior communicating artery. She was diagnosed with hypothalamic diabetes insipidus and adipsic disorder and treated with intranasal desmopressin and regular water intake. This is the 11th case of adipsic diabetes insipidus associated with an anterior communicating artery aneurysm in the world, and the first reported case in Korea. (Korean J Med 77:S1217-S1221, 2009)
Key Words: Thirst; Diabetes insipidus; Anterior communicating artery aneurysm; Hypernatremia; Desmopressin


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