Connecticut Children's Medical Center, Farmington, Connecticut.
Sports Health. 2012 Mar;4(2):139-41. doi: 10.1177/1941738111434275.
A 24-year-old female swimmer presented to a sports medicine clinic with complaints of frequent urination and increased thirst. The patient admitted to progressive worsening of her symptoms over a 4-year period since suffering a concussion. A water deprivation test, antidiuretic hormone level, and diamino-8-D-arginine vasopressin challenge were completed, and the patient was diagnosed with persistent central diabetes insipidus. As concussion awareness increases, health care professionals will be faced with treatment of post-concussive patients more often. The aim of this case report is to increase awareness of possible pituitary dysfunction-specifically, central diabetes insipidus-following a concussion.
一位 24 岁的女性游泳运动员因频繁排尿和口渴增多到运动医学诊所就诊。该患者承认自 4 年前遭受脑震荡以来,症状逐渐恶化。进行了禁水试验、抗利尿激素水平和二氨基-8-D-精氨酸加压素挑战,诊断为持续性中枢性尿崩症。随着对脑震荡认识的提高,医务人员将更经常地面对脑震荡后患者的治疗。本病例报告的目的是提高对脑震荡后可能出现的垂体功能障碍(特别是中枢性尿崩症)的认识。