症例報告
下垂体近傍の蝶形骨多発骨折による永続的尿崩症の１例
2011 年 34 巻 2 号 p. 188-191
詳細
2011 年 34 巻 2 号 p. 188-191
A 34-year-old man fell down after his head was hit by a big metalic mass toward the wall. The patient had headache, nausea, and amnesia at arrival to our hospital. A Computed Tomography (CT) scan showed diffuse pneumocephalus, hematoma surrounding the sella turcica, a linear bone fracture on the right vault, and multiple sphenoid fractures. The patient underwent diabetes insipidus (DI) 10 days after admission. Treatment using desmopressin was started, but the patient was discharged with DI. Two years and 4 months after discharge, the patient still had DI. We report a rare case of a late onset permanent DI following skull base fracture. When the lesion near the pituitary stalk is suspected, DI has to be considered.
