@article{oai:niigata-u.repo.nii.ac.jp:00014507, author = {丸山, 誠太郎 and 小林, 千晶 and 阿部, 英里 and 五十嵐, 智雄 and 宗田, 聡 and 浮須, 潤子 and 鈴木, 亜希子 and 長沼, 景子 and 金子, 晋 and 鈴木, 克典 and 羽入, 修 and 中川, 理 and 相澤, 義房 and 片桐, 尚 and 谷, 長行}, issue = {12}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Dec}, note = {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.}, pages = {632--637}, title = {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}, volume = {115}, year = {2001} }