TY - JOUR PY - 2018// TI - From mechanical to chemical: a case of diabetes insipidus induced by concussive brain injury JO - American journal of medicine A1 - Shahid, Muhammad Hassaan A1 - Verma, Ashish A1 - Youngblood, Laura SP - e293 EP - e294 VL - 131 IS - 7 N2 -

Diabetes Insipidus is a rare disorder of water-electrolyte balance which is characterized by either absolute (central) or functional (nephrogenic) deficiency of vasopressin or antidiuretic hormone (ADH) [1]. Central diabetes insipidus (CDI) is a recognized complication of traumatic brain injury however, those patients are much sicker and have other symptoms from the trauma as well [2]. We present a case of complete central diabetes insipidus induced by a minor concussion where headache and polyuria were the only presenting complaints. A 34-year-old previously healthy male presented with a headache and generalized weakness 12 hours after sustaining a concussion to his head in an amateur boxing game. He reported transient unconsciousness after the clout but returned to his normal state without any residual deficits. He was evaluated at an outside hospital shortly after the injury and was discharged after normal workup including CT brain without contrast. Patient's headache, however, got worse with time and he returned to the hospital. Physical examination ...

Language: en

LA - en SN - 0002-9343 UR - http://dx.doi.org/10.1016/j.amjmed.2018.02.027 ID - ref1 ER -