Magnetic Rescnance Imaging (Mri) of the Brain in Patients With Central Diabetes Insipidus (Cdi). 27

Autor: G Alonso, D Rogoff, M Blanco, I Bergad˙a, J J Heinrich
Rok vydání: 1998
Předmět:
Zdroj: Pediatric Research. 43:299-299
ISSN: 1530-0447
0031-3998
DOI: 10.1203/00006450-199802000-00050
Popis: MRI of the brain is an important aid in the diagnosis of CDI, however images do not always show a patognomonic pattern of this disease. In the present study we describe the heterogeneous images found in 14 patients with CDI (W=8,F=6) with ages from 1 to 14 years. The images were as follows:Idiopathic CDI(n=9): Seven patients on admission lacked the typical bright spot of the neurohypophysis. In the remaining 2 patients the bright spot dissapeared on follow-up after 7 and 12 months of diagnosis. In one of these patients on admission a thickening of the pituitary stalk was observed that was normalized 3 years later. The other patient one year after diagnosis showed a thickening of the stalk not shown previously.Tumoral(germinoma) (n=3): Two patients on admission lacked the bright spot, also a tumoral infiltration of the hypothalamus was observed, which was best defined with gadolinium. The third patient at diagnosis showed a widening of the pituitary stalk with an ectopic bright spot, however a year later a tumoral infiltration of the hypothalamus was observed with dissaperance of the bright spot. Histiocytosis(n=1): This patient on admission lacked the bright spot without any further finding on the MRI.
Databáze: OpenAIRE