Johnston S, Burgess J, McMillan T, Greenwood R
Regional Neurological Rehabilitation Unit, Homerton Hospital, London, UK.
J Neurol Neurosurg Psychiatry. 1991 Mar;54(3):272-4. doi: 10.1136/jnnp.54.3.272.
Adipsia combined with diabetes insipidus after hypothalamic damage may produce major difficulties in clinical management. If there is an associated memory impairment it may be impossible to teach self-regulation of fluid balance, necessitating long-term hospital supervision. The successful use of a behaviour modification technique to achieve independent drinking and allow discharge from hospital into the community is described in a patient with adipsia, diabetes insipidus and memory impairment resulting from the removal of a craniopharyngioma.
下丘脑损伤后出现的渴感缺失合并尿崩症可能给临床管理带来重大困难。如果伴有记忆障碍，可能无法教会患者自我调节水平衡，这就需要长期住院监护。本文描述了一名因颅咽管瘤切除术后出现渴感缺失、尿崩症及记忆障碍的患者，成功运用行为矫正技术实现自主饮水并得以出院回归社区的案例。
