2024-03-28T11:05:32Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00014507
2022-12-15T03:46:30Z
453:456
471:537:538:1068
高Na血症の是正に伴い著明な高血糖が改善された胚細胞腫による尿崩症の一例
高Na血症の是正に伴い著明な高血糖が改善された胚細胞腫による尿崩症の一例
A Case of Diabetes lnspidus Due to Post-Operational Germinoma with Amelioration of Severe Hyperglycemia Following the Correction of Hypernatremia
丸山, 誠太郎
小林, 千晶
阿部, 英里
五十嵐, 智雄
宗田, 聡
浮須, 潤子
鈴木, 亜希子
長沼, 景子
金子, 晋
鈴木, 克典
羽入, 修
中川, 理
相澤, 義房
片桐, 尚
谷, 長行
Germinoma
Diabetes lnspidus
Diabetes Mellitus
DDAVP
胚細胞腫
尿崩症
糖尿病
A 24-year-old woman was admitted to our hospital complaining of polydipsia and polyuria at the age of 14 years. Then she noticed visual disturbance, and was pointed out optical nerve atrophy with disturbed of visual field and diagnosed as germinoma by brain CT and biopsy. She was received whole brain radiation of 50 Gy, her gerrninoma was improved in CT finding but hypernatremia continued. Diabetes insipidus was diagnosed due to pituitary insufficiency, and she had been treated with replacement of hydrocortisone at 15 mg/day and DDAVP at 0.25 μg/day. On 11th May 1992, her plasma glucose level was elevated to 893 mg/dl, and she was admitted to our hospital. When her plasma sodium concentration was normalized, her plasma glucose level was normalized by insulin. It has been reported that high plasma sodium causes the secretion of insulin. This case suggests that insulin secretion correlated with plasma sodium level.
新潟医学会
2001-12
jpn
departmental bulletin paper
http://hdl.handle.net/10191/48634
https://niigata-u.repo.nii.ac.jp/records/14507
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
115
12
632
637
https://niigata-u.repo.nii.ac.jp/record/14507/files/115(12)_632-637.pdf
application/pdf
1.4 MB
2019-08-07