Cranial diabetes insipidus |
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Familial |
Autosomal dominant |
DIDMOAD syndrome |
Cerebral malformations |
In association with septo-optic dysplasia |
Laurence-Moon-Beidl syndrome |
Acquired |
Trauma (neurosurgery, head injury) |
Tumours (such as craniopharyngioma, germinoma, optic glioma) |
Idiopathic |
Hypoxic/ischaemic brain damage |
Lymphocytic neurohypophysitis |
Granuloma (tuberculosis, sarcoid, histiocytosis) |
Infections (congenital cytomegalovirus and toxoplamosis, encephalitis, meningitis) |
Vascular (aneurysm, malformations) |
Nephrogenic diabetes insipidus |
Familial |
X linked recessive inheritance (V2 receptor gene defect) |
Autosomal recessive inheritance (aquaporin 2 gene defect) |
Acquired |
Osmotic diuresis (diabetes mellitus) |
Metabolic (hypercalcaemia, hypokalaemia) |
Chronic renal disease |
Drugs (lithium, demeclocycline) |
Postobstructive uropathy |
Solute washout from renal medulla |
Primary polydipsia |
Compulsive or habitual |
In association with psychological disturbance |
Drugs (lithium, carbamazepine) |
Hypothalamic lesion |
DIDMOAD, crainia diabetes insipidus (DI), diabetes mellitus (DM), optic atrophy (OA, and deafness (D).