Citation

Shahid MH, Verma A, Youngblood L. Am. J. Med. 2018; 131(7): e293-e294.

Affiliation

Department of Medicine, University of Tennessee College of Medicine, Chattanooga, Tennessee. Electronic address: Laura.Youngblood@erlanger.org.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.amjmed.2018.02.027

PMID

29596786

Abstract

Diabetes Insipidus is a rare disorder of water-electrolyte balance which is characterized by either absolute (central) or functional (nephrogenic) deficiency of vasopressin or antidiuretic hormone (ADH) [1]. Central diabetes insipidus (CDI) is a recognized complication of traumatic brain injury however, those patients are much sicker and have other symptoms from the trauma as well [2]. We present a case of complete central diabetes insipidus induced by a minor concussion where headache and polyuria were the only presenting complaints. A 34-year-old previously healthy male presented with a headache and generalized weakness 12 hours after sustaining a concussion to his head in an amateur boxing game. He reported transient unconsciousness after the clout but returned to his normal state without any residual deficits. He was evaluated at an outside hospital shortly after the injury and was discharged after normal workup including CT brain without contrast. Patient's headache, however, got worse with time and he returned to the hospital. Physical examination ...

Language: en

Keywords

Central Diabetes Insipidus; Concussion; Contact Sports; Polyuria