Central diabetes insipidus with spontaneous remission. A case report

Recenti Prog Med. 1998 Sep;89(9):450-3.

Abstract

We report a case of central diabetes insipidus with spontaneous remission 8 months after clinical beginning of the disease. A 20 years-old man developed polydipsia and polyuria in October 1994. A water deprivation study showed a defect in the urine concentrating function, which was corrected by vasopressine. A Magnetic Resonance imaging of the skull revealed a thickening of the pituitary stalk. His condition was well controlled by nasal DDAVP administration and 6 months later patient reduced spontaneously medication dose without clinical worsening. 8 months after clinical beginning, patient has become completely free from the need for medication to control clinical symptoms and urine concentrating function, as demonstrated by a re-evaluation study with water deprivation. A control Magnetic Resonance showed the regression of stalk enlargement. The clinical and radiological features of this case are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain / pathology
  • Diabetes Insipidus / drug therapy
  • Diabetes Insipidus / physiopathology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Polyuria / drug therapy
  • Polyuria / etiology
  • Remission, Spontaneous
  • Renal Agents / therapeutic use
  • Vasopressins / therapeutic use

Substances

  • Renal Agents
  • Vasopressins