Central diabetes insipidus in a young patient with leptomeningeal metastasis related colon cancer: Case report Kolon kanserine baǧlı leptomeningeal metastazlı genç bir hastada santral diabetes insipidus
Turkiye Klinikleri Journal of Medical Sciences, cilt.33, sa.3, ss.894-897, 2013 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 3
- Basım Tarihi: 2013
- Doi Numarası: 10.5336/medsci.2012-29222
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.894-897
- Anahtar Kelimeler: Colonic neoplasms, Diabetes insipidus, Diabetes insipidus primary central, Meningeal carcinomatosis, Meningeal neoplasms, Neurogenic
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Leptomeningeal metastasis is a neurological complication of several systemic tumors and is characterized by multifocal invasion of the leptomeninges and subarachnoid space by neoplastic cells. Leptomeningeal metastases from colorectal carcinoma are very rare in young patients. Spread of cancer cells to the meningeal layers may cause headache, epileptic seizures, hydrocephalus but diabetes insipidus is an uncommon complication. In this report, we presented a unique case of central diabetes insipidus in a patient with systemic malignancy. Twenty-year-old male patient with abdominal pain, diarrhea and alternating fever with a presumptive diagnosis of brucellosis was diagnosed with colorectal cancer; upon deterioration multiple bone and leptomeningeal metastases were detected. Central diabetes insipidus developed in the patient while he was hospitalized in the intensive care unit, which led to death. © 2013 by Türkiye Klinikleri.