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• W1969989097 abstract "Case Reports1 January 1962Chronic and Sustained Hypernatremia, Absence of Thirst, Diabetes Insipidus, and Adrenocorticotrophin Insufficiency Resulting from Widespread Destruction of the HypothalamusLOUIS V. AVIOLI, M.D., LAURENCE E. EARLEY, M.D., HASKINS K. KASHIMA, M.D.LOUIS V. AVIOLI, M.D.Search for more papers by this author, LAURENCE E. EARLEY, M.D.Search for more papers by this author, HASKINS K. KASHIMA, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-56-1-131 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLocations within the central nervous system of centers influencing the metabolism of water and electrolytes have been long recognized (1-5). Consequently, clinical disturbances in solute and water balance have frequently been attributed causally to various intracranial lesions (6-11). Diabetes insipidus is by far the most frequently diagnosed of such disturbances, possibly because of the vulnerable anatomy of the supraoptico-neurohypophyseal system and the ease with which the clinical manifestations of antidiuretic hormone (ADH) insufficiency are recognized. However, other clinical entities involving water and mineral metabolism have been reported. Intracranial disease resulting in the excessive secretion of antidiuretic hormone (11), renal salt...References1. BERNARD C: Cited by CUSHNY, A. R.: Secretion of the Urine, Longmans, Green and Co., London, 1926, p. 135. Google Scholar2. VERNEY EB: Antidiuretic hormone and the factors which determine its release. Proc. Roy. Soc. 135: 25, 1947. Google Scholar3. STEVENSONWELTORLOFF JHLGJ: Abnormalities of water and electrolyte metabolism in rats with hypothalamic lesions. Amer. J. Physiol. 161: 35, 1950. CrossrefMedlineGoogle Scholar4. WISE BL: Relation of brain stem to renal electrolyte excretion. Proc. Soc. Exp. Biol. Med. 91: 557, 1956. CrossrefMedlineGoogle Scholar5. KEELER R: Effect of hypothalamic lesions on renal excretion of sodium. Amer. J. Physiol. 197: 847, 1959. CrossrefMedlineGoogle Scholar6. CORT JH: Cerebral salt wasting. Lancet 266: 752, 1954. CrossrefMedlineGoogle Scholar7. WEITZMANTRIEDMAN EDMH: Hyperosmolarity associated with a hypothalamic lesion. Neurology 10: 584, 1960. CrossrefMedlineGoogle Scholar8. ALLOTT EN: Hypernatremia and hyperchloremia in bulbar poliomyelitis. Lancet 272: 246, 1957. CrossrefMedlineGoogle Scholar9. ENGSTROMLIEBMAN WWA: Chronic hyperosmolality of the body fluids with a cerebral lesion causing diabetes insipidus and anterior pituitary insufficiency. Amer. J. Med. 15: 180, 1953. CrossrefMedlineGoogle Scholar10. PETERSWELTSIMSORLOFFNEEDHAM JPLGEAJJW: Salt-wasting syndrome associated with cerebral disease. Trans. Ass. Amer. Physicians 63: 57, 1950. MedlineGoogle Scholar11. CARTERRECTORSELDIN NNFCDW: Hyponatremia in cerebral disease resulting from inappropriate secretion of antidiuretic hormone. New Engl. J. Med. 264: 67, 1961. CrossrefMedlineGoogle Scholar12. ZIERLER KL: Hyperosmolarity in adults: a critical review. J. Chron. Dis. 7: 1, 1958. CrossrefMedlineGoogle Scholar13. GORDONGOLDNER GLF: Hypernatremia, azotemia and acidosis after cerebral injury. Amer. J. Med. 23: 543, 1957. CrossrefMedlineGoogle Scholar14. WELTSELDINNELSONGERMANPETERS LGDWWPWJJP: Role of the central nervous system in metabolism of electrolytes and water. Arch. Intern. Med. 90: 355, 1952. CrossrefGoogle Scholar15. BERLINERDAVIDSON RWDG: Production of hypertonic urine in the absence of pituitary antidiuretic hormone. J. Clin. Invest. 36: 1416, 1957. CrossrefMedlineGoogle Scholar16. KLEEMANMAXWELLROCKNEY CRMHR: Production of hypertonic urine in humans in the probable absence of antidiuretic hormone (ADH). Proc. Soc. Exp. Biol. Med. 96: 189, 1957. CrossrefMedlineGoogle Scholar17. STEPANTSCHITZSCHREINER GB: Contribution to the clinical study and therapy of Hand-Schüller-Christian disease. Wien. Klin. Wschr. 65: 301, 1953. MedlineGoogle Scholar18. DOMINGUESRODRIGUESSAWAYA OFM: Hand-Schüller-Christian disease: clinical, radiological, cytological, hematological, and therapeutic study of one case. Med. Cir. Farm. 233: 415, 1955. Google Scholar19. HUME DM: The relationship of the hypothalamus to the pituitary secretion of ACTH, in Ciba Foundation Colloquia on Endocrinology, vol. 4, 1952, p. 87. Google Scholar20. BRIZZEEEIK-NES KRK: Effect of extracts of hypothalamic nuclei and cerebral cortex on ACTH stimulating activity in the dog. Endocrinology 68: 166, 1961. CrossrefGoogle Scholar21. CLEVELANDGREENMIGEON WWOCCJ: A case of proved adrenocorticotropin deficiency. J. Pediat. 57: 376, 1960. CrossrefMedlineGoogle Scholar22. ODELLGREENWILLIAMS WDGMRH: Hypoadrenotropism: the isolated deficiency of adrenotropic hormone. J. Clin. Endocr. 20: 1017, 1960. CrossrefGoogle Scholar23. PERKOFFEIK-NESCARNESTYLER GTKWHFH: Selective hypopituitarism with deficiency of anterior pituitary basophils. J. Clin. Endocr. 20: 1269, 1960. CrossrefGoogle Scholar24. STEINBERGSHECHTERSEGAL AFRHI: True pituitary Addison's disease—a pituitary unitropic deficiency. J. Clin. Endocr. 14: 1519, 1954. CrossrefGoogle Scholar25. GAUNTBIRNIEEVERSOLE RJHWJ: Adrenal cortex and water metabolism. Physiol. Rev. 29: 281, 1949. CrossrefMedlineGoogle Scholar26. LEAFMAMBYRASMUSSENMARASCO AARHJP: Some hormonal aspects of water excretion in man. J. Clin. Invest. 31: 914, 1952. CrossrefMedlineGoogle Scholar27. RAISZMCNEELYSAXONROSENBAUM LGWFLJD: The effects of cortisone and hydrocortisone on water diuresis and renal function in man. J. Clin. Invest. 36: 767, 1957. CrossrefMedlineGoogle Scholar28. KLEEMANKOPLOWITZMAXWELLCUTLERDOWLING CRJMHRJT: Mechanisms of impaired water excretion in adrenal and pituitary insufficiency. II. Interrelationships of adrenal cortical steroids and antidiuretic hormone in normal subjects and in diabetes insipidus. J. Clin. Invest. 39: 1472, 1960. CrossrefMedlineGoogle Scholar29. EARLEYSANDERS LECA: The effect of changing serum osmolality on the release of antidiuretic hormone in certain patients with decompensated cirrhosis of the liver and low serum osmolality. J. Clin. Invest. 38: 545, 1959. CrossrefMedlineGoogle Scholar30. EARLEYKAHNORLOFF LEMJ: The effects of infusions of chlorothiazide on urinary dilution and concentration in the dog. J. Clin. Invest. 40: 857, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: LOUIS V. AVIOLI, M.D.; LAURENCE E. EARLEY, M.D.; HASKINS K. KASHIMA, M.D.Affiliations: Bethesda, MarylandFrom the Department of Radiotherapy, National Cancer Institute, and Laboratory of Kidney and Electrolyte Metabolism, National Heart Institute, National Institutes of Health, Public Health Service, Department of Health, Education, and Welfare, Bethesda 14, Maryland.Requests for reprints should be addressed to Louis V. Avioli, M. D., Department of Medicine, Seton Hall College of Medicine and Dentistry, Medical Center, Jersey City 4, New Jersey. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byIdentification of clinical factors related to antibody‐mediated immune response to the subfornical organAutoimmunity Related to Adipsic Hypernatremia and ROHHAD SyndromeExtrapontine Myelinolysis following Extreme Hypernatremia and HyperosmolarityAdipsic hypernatremia without hypothalamic lesions accompanied by autoantibodies to subfornical organCharacteristic clinical features of adipsic hypernatremia patients with subfornical organ-targeting antibodyThe Na x ChannelSodium sensing in the brainAutoimmunity to the Sodium-Level Sensor in the Brain Causes Essential HypernatremiaDiabetes Insipidus With Deficient Thirst: Report of a Patient and Review of the LiteraturePathogenesis of Chronic Hypernatremia with Dehydrated and Non-dehydrated States in Hypothalamic Space-occupying LesionsHistiocytosis x of the hypothalamusThe Frequency and Natural History of Diabetes Insipidus in Children with Langerhans-Cell HistiocytosisDiabetes InsipidusThe Hypothalamo-neurohypophyseal SystemLACK OF THIRST, OSMORECEPTOR DYSFUNCTION, EARLY PUBERTY AND ABNORMALLY AGGRESSIVE BEHAVIOUR IN TWO BOYSA CASE OF ‘ESSENTIAL’ HYPERNATRAEMIA DUE TO RESETTING OF THE OSMOSTATChronic hypernatremia from a congenital defect in osmoregulation of thirst and vasopressinHypernatremic thirst deficiency and memory disorders following hypothalamic lesionsSecteurs hydriques et électrolytes échangeables dans 7 cas d'hypernatrémie neurogèneNeurogenic hypernatraemiaDas hypothalamo-neurohypophysäre SystemHypernatremiaassociated with pineal tumorPreoptic hypernatremic syndrome and the regulation of water balance in the ratExtreme Hypernatraemia in a Child Receiving Gastrostomy FeedingEffects on the central nervous system of hypernatremic and hyponatremic statesPathophysiologic and pharmacologic alterations in the release and action of ADHIdiopathic symptomatic hypernatremia in a 9-year-old boy: A clinical and physiologic evaluationThe Hypothalamo-Neurohypophyseal SystemTransient hypernatremia after bacterial meningitisSymptomatic normovolemic essential hypernatremiaGranulome des HypothalamusPostconcussive hyperosmolality and deficient thirstHypernatremia Due to Hypodipsia and Elevated Threshold for Vasopressin ReleaseDisorders of Antidiuretic Hormone SecretionAsymptomatic hypovolemic hypernatremiaDefective thirst mechanism secondary to a hypothalamic lesion: Studies in a child with adipsia, polyphagia, obesity, and persistent hyperosmolalityZur Diskussion aufgefordertAbnormalities of Neuroendocrine Functions in ManHyperosmolarity (Hypernatremia) with Cerebral DiseaseHypopituitarism: A Study of Growth Hormone and Other Endocrine FunctionsMITCHELL T. RABKIN, M.D., ANDREW G. FRANTZ, M.D.Asymptomatic hypernatremiaHypernatremiaClinical Implications of AdipsiaAbsence of Thirst in Association with HydrocephalusChronische Hyperosmolarit�t bei Hypothalamusl�sionHypernatræmia and the Brain 1 January 1962Volume 56, Issue 1Page: 131-140KeywordsAntidiuretic hormoneHypothalamusIngestionLesionsMedical servicesPrevention, policy, and public healthRenal cancerRenal diseasesResearch laboratoriesSalts ePublished: 1 December 2008 Issue Published: 1 January 1962 PDF downloadLoading ..." @default.
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