脑血管病致中枢性尿崩症1例报告

1 Data of Medical history The patient,a male of 67 years,was admitted because of " imobilization in the right limbs and aphasis" .His past history included 5 years of hypertension,large area cerebral infarction in left frontal,temporal,capular corteces confirmed by CT after admission,discharge when turning better after expectant treatment.Left mobilization of the right limbs,1 month later,the patient had a general tetany,unconsiousness,cyanosis of lips for 1min.Then these manifestations relieved and the consciousness became clear but polydipsia apperared and could not be tolerated.The patient began to drink water at once.More than 1 500 ml of water was drank and large amount of urine was passed then.The polydipsia persisted 10 minutes each time,then recovered completely.The symptoms recurred once every 2～3 days or 2～3 times a day.Specific gravity of urine was between 1.001～1.005 on attack.No new locus was found in CT reexamination.EEG showedθwave or accidentalδwaves at frontal,temporal,copular areas,and fulminant δ waves on hyperventilation.The patient turned normal after the attacks.Specific gravity of urine was 1.010.None of the above mentioned symptoms occurred after antiepileptic treatment of sodium propovalerate.

Central diabetes insipidus caused by cerebrovascular disease: one case report