Diabetes Insipidus as Initial Presentation of Rathke＇s Cleft Cyst

作     者：Cheng-Xian Yang Ming Feng Kan Deng Xiao-Hai Liu Xin-Jie Bao Ren-Zhi Wang Yang Cheng-Xian;Feng Ming;Deng Kan;Liu Xiao-Hai;Bao Xin-Jie;Wang Ren-Zhi

作者机构：Department of Neurosurgery Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2017年第130卷第6期

页      面：751-752页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：PITUITARY ABSCESS 

摘      要：To the Editor： A 56-year-old Chinese man was referred to Peking Union Medical College Hospital because of polydipsia （9000 ml/24 h） and polyuria （7000 ml/24 h） for over 20 days accompanied with intermittent moderate headache in frontal and temporal areas of both sides for about 2 weeks. The patient underwent a brain magnetic resonance imaging （MRI） with contrast in a local healthy facility, revealing that there was an irregular pituitary lesion measuring 1.1 cm× 1.4 cm× 2.2 cm. Apparently, the diagnosis of central diabetes insipidus （DI） was made, but the pituitary lesion remained to be elucidated. The patient received desmopressin acetate tablets （1.2 mg, q.n.） to ameliorate polydipsia （5000 ml/24 h） and polyuria （4000 ml/24 h）.