Abstract
Patients with hypothalamic adipsic syndrome, especially in conjunction with diabetes insipidus, pose management difficulties. They are at risk of both under- and over-hydration. We present 4 patients with hypothalamic adipsic syndromes, due to different causes, illustrating the practical difficulties encountered in this condition. The principles of management, with a sliding scale of water intake related to changes in daily body weight, are discussed.
MeSH terms
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Adolescent
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Adult
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Brain Neoplasms / complications
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Cerebral Hemorrhage / complications
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Child
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Combined Modality Therapy
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Drinking
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Female
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Humans
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Hypothalamic Diseases / diagnosis*
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Hypothalamic Diseases / etiology
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Hypothalamic Diseases / therapy
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Male
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Osmolar Concentration
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Perceptual Disorders / diagnosis*
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Perceptual Disorders / etiology
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Perceptual Disorders / therapy
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Pineal Gland
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Pituitary Neoplasms / complications
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Subarachnoid Hemorrhage / complications
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Syndrome
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Thirst*