Smith J R, Elwood C M
Davies White Veterinary Specialists, Manor Farm Business Park, Higham Gobion, Hertfordshire.
J Small Anim Pract. 2004 Aug;45(8):405-9. doi: 10.1111/j.1748-5827.2004.tb00256.x.
Traumatic hypopituitarism was diagnosed in an 11-month-old male neutered cat. The presenting complaints were polydipsia, polyuria and lethargy of three months' duration. Craniocerebral trauma, as a result of a road traffic accident, had preceded the onset of clinical signs by six weeks. Neurological examination revealed right-sided mydriasis, reduced visual and tactile left forelimb placing reflexes and decreased proprioception in both the left fore- and hindlimb. Initial laboratory findings included hypernatraemia, hyperchloraemia, mild azotaemia, eosinophilia and isosthenuria. Low basal cortisol, thyroxine, thyroid-stimulating hormone and insulin growth factor-1 were noted. Subsequent to treatment with prednisolone, a water deprivation test confirmed the presence of central diabetes insipidus and therapy with synthetic antidiuretic hormone successfully ameliorated the polydipsia.
一只11个月大已绝育的雄性猫被诊断为创伤性垂体功能减退。主要症状为持续三个月的多饮、多尿和嗜睡。六周前发生的道路交通事故导致的颅脑创伤先于临床症状出现。神经学检查发现右侧瞳孔散大,左侧前肢视觉和触觉放置反射减弱,左前肢和后肢本体感觉减退。最初的实验室检查结果包括高钠血症、高氯血症、轻度氮质血症、嗜酸性粒细胞增多和等渗尿。基础皮质醇、甲状腺素、促甲状腺激素和胰岛素生长因子-1水平较低。在使用泼尼松龙治疗后,禁水试验证实存在中枢性尿崩症,使用合成抗利尿激素治疗成功改善了多饮症状。