A treatment of the case with partial diabetes insipidus, accompanied by Rathke's cleft cyst, which was induced by polydipsia

H. Sugahara, G. Komaki, S. Matsubayashi, H. Hayakawa, H. Tamai, Chiharu Kubo

Research output: Contribution to journalArticle

Abstract

A 42-year-old man was referred and admitted to the faculty of psychosomatic Medicine of Kyushu University Hospital because of polydipsia and polyuria in April 1994. He had been healthy until December 1993, when he began to drink a kind of 'ARUKARI ionic water', so called healthy beverage and had thirst, polydipsia, polyuria and palpitation. In early 1994, he could not take anything other than ice and water. He felt no taste at that time. So he began to drink more and more water because of his fiery thirst. In February 1994, he was diagnosed as having hyperthyroidism and became euthyroid under medication of thiamazole in a certain period. However, his polydipsia and polyuria never improved and his urine volume reached 7 l/day at the worst. After his admission in our hospital, the examinations showed that he suffered from partial diabetes insipidus and had Rathke's cleft cyst of 10 mm diameter in sella turcica. His polydipsia seemed to have begun because of his anxiety due to living in an isolated island and having a post surgical gait disturbance. Having had an explanation of his illness and a sodium restriction dietary, he improved his hypernatremia, higher plasma osmolality and lower urine osmolality. His signs also disappeared during the hospitalization of 2 months. In about a year after his discharge, plasma ADH also improved and the Rathke's cleft cyst naturally involuted and disappeared in the image of CT scan.

Original languageEnglish
Pages (from-to)523-528
Number of pages6
JournalJapanese Journal of Psychosomatic Medicine
Volume38
Issue number7
Publication statusPublished - Jan 1 1998
Externally publishedYes

Fingerprint

Central Nervous System Cysts
Polydipsia
Diabetes Insipidus
Polyuria
Thirst
Osmolar Concentration
Water
Urine
Sella Turcica
Hypernatremia
Psychosomatic Medicine
Dietary Sodium
Methimazole
Beverages
Ice
Hyperthyroidism
Therapeutics
Gait
Islands
Hospitalization

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

A treatment of the case with partial diabetes insipidus, accompanied by Rathke's cleft cyst, which was induced by polydipsia. / Sugahara, H.; Komaki, G.; Matsubayashi, S.; Hayakawa, H.; Tamai, H.; Kubo, Chiharu.

In: Japanese Journal of Psychosomatic Medicine, Vol. 38, No. 7, 01.01.1998, p. 523-528.

Research output: Contribution to journalArticle

@article{b01a8cf86f3a49a8b2b32be16c2750c2,
title = "A treatment of the case with partial diabetes insipidus, accompanied by Rathke's cleft cyst, which was induced by polydipsia",
abstract = "A 42-year-old man was referred and admitted to the faculty of psychosomatic Medicine of Kyushu University Hospital because of polydipsia and polyuria in April 1994. He had been healthy until December 1993, when he began to drink a kind of 'ARUKARI ionic water', so called healthy beverage and had thirst, polydipsia, polyuria and palpitation. In early 1994, he could not take anything other than ice and water. He felt no taste at that time. So he began to drink more and more water because of his fiery thirst. In February 1994, he was diagnosed as having hyperthyroidism and became euthyroid under medication of thiamazole in a certain period. However, his polydipsia and polyuria never improved and his urine volume reached 7 l/day at the worst. After his admission in our hospital, the examinations showed that he suffered from partial diabetes insipidus and had Rathke's cleft cyst of 10 mm diameter in sella turcica. His polydipsia seemed to have begun because of his anxiety due to living in an isolated island and having a post surgical gait disturbance. Having had an explanation of his illness and a sodium restriction dietary, he improved his hypernatremia, higher plasma osmolality and lower urine osmolality. His signs also disappeared during the hospitalization of 2 months. In about a year after his discharge, plasma ADH also improved and the Rathke's cleft cyst naturally involuted and disappeared in the image of CT scan.",
author = "H. Sugahara and G. Komaki and S. Matsubayashi and H. Hayakawa and H. Tamai and Chiharu Kubo",
year = "1998",
month = "1",
day = "1",
language = "English",
volume = "38",
pages = "523--528",
journal = "Japanese Journal of Psychosomatic Medicine",
issn = "0385-0307",
publisher = "一般社団法人日本心身医学会",
number = "7",

}

TY - JOUR

T1 - A treatment of the case with partial diabetes insipidus, accompanied by Rathke's cleft cyst, which was induced by polydipsia

AU - Sugahara, H.

AU - Komaki, G.

AU - Matsubayashi, S.

AU - Hayakawa, H.

AU - Tamai, H.

AU - Kubo, Chiharu

PY - 1998/1/1

Y1 - 1998/1/1

N2 - A 42-year-old man was referred and admitted to the faculty of psychosomatic Medicine of Kyushu University Hospital because of polydipsia and polyuria in April 1994. He had been healthy until December 1993, when he began to drink a kind of 'ARUKARI ionic water', so called healthy beverage and had thirst, polydipsia, polyuria and palpitation. In early 1994, he could not take anything other than ice and water. He felt no taste at that time. So he began to drink more and more water because of his fiery thirst. In February 1994, he was diagnosed as having hyperthyroidism and became euthyroid under medication of thiamazole in a certain period. However, his polydipsia and polyuria never improved and his urine volume reached 7 l/day at the worst. After his admission in our hospital, the examinations showed that he suffered from partial diabetes insipidus and had Rathke's cleft cyst of 10 mm diameter in sella turcica. His polydipsia seemed to have begun because of his anxiety due to living in an isolated island and having a post surgical gait disturbance. Having had an explanation of his illness and a sodium restriction dietary, he improved his hypernatremia, higher plasma osmolality and lower urine osmolality. His signs also disappeared during the hospitalization of 2 months. In about a year after his discharge, plasma ADH also improved and the Rathke's cleft cyst naturally involuted and disappeared in the image of CT scan.

AB - A 42-year-old man was referred and admitted to the faculty of psychosomatic Medicine of Kyushu University Hospital because of polydipsia and polyuria in April 1994. He had been healthy until December 1993, when he began to drink a kind of 'ARUKARI ionic water', so called healthy beverage and had thirst, polydipsia, polyuria and palpitation. In early 1994, he could not take anything other than ice and water. He felt no taste at that time. So he began to drink more and more water because of his fiery thirst. In February 1994, he was diagnosed as having hyperthyroidism and became euthyroid under medication of thiamazole in a certain period. However, his polydipsia and polyuria never improved and his urine volume reached 7 l/day at the worst. After his admission in our hospital, the examinations showed that he suffered from partial diabetes insipidus and had Rathke's cleft cyst of 10 mm diameter in sella turcica. His polydipsia seemed to have begun because of his anxiety due to living in an isolated island and having a post surgical gait disturbance. Having had an explanation of his illness and a sodium restriction dietary, he improved his hypernatremia, higher plasma osmolality and lower urine osmolality. His signs also disappeared during the hospitalization of 2 months. In about a year after his discharge, plasma ADH also improved and the Rathke's cleft cyst naturally involuted and disappeared in the image of CT scan.

UR - http://www.scopus.com/inward/record.url?scp=0031687211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031687211&partnerID=8YFLogxK

M3 - Article

VL - 38

SP - 523

EP - 528

JO - Japanese Journal of Psychosomatic Medicine

JF - Japanese Journal of Psychosomatic Medicine

SN - 0385-0307

IS - 7

ER -