Citation

Demirbilek H, Ozbek MN, Baran RT, Baran A. J. Clin. Res. Pediatr. Endocrinol. 2013; 5(3): 209-211.

Affiliation

Diyarbakır Children's State Hospital, Pediatric Endocrinology, Diyarbakır, Turkey. E-mail: dr_huseyin@hotmail.com.

Copyright

(Copyright © 2013, Turkish Pediatric Endocrinology and Diabetes Society, Publisher Galenos Yayınevi)

DOI

10.4274/Jcrpe.1037

PMID

24072093

Abstract

Gunshot injuries (GSI) of the cranial area have an extremely high mortality rate. Herein, we present a girl who has been living with a bullet in the posterior sellar region. A 6-year-old girl was admitted with complaints of headache, polyuria and polydypsia, which started after a GSI. At the time of admission the patient's anthropometric, physical and neurological examinations were normal. Urine output was 5.5 L/m2/24h. A water deprivation test suggested central diabetes insipidus, which responded to treatment. Evaluation of other pituitary hormones revealed central hypothyroidism and growth hormone deficiency. Pituitary hormone deficiency must be kept in mind in patients injured by a gunshot to the sellar/parasellar region.

Language: en