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Neurogenic diabetes insipidus presenting in a patient with subacute liver failure: a case report
Manu Shankar Hari1, Anthony K Parsons, Andy K Burroughs
1Intensive Care Unit, The Royal Free Hospital NHS Trust, Pond Street, London, NW3 2QG, UK. banwari.agarwal@royalfree.nhs.uk.
Introduction:
To the best of our knowledge, this is the first report in the literature of development of neurogenic diabetes insipidus in a patient with subacute liver failure.
Case Presentation:
A 25-year-old man presented with subacute liver failure. While awaiting a liver transplant, the patient developed cerebral edema, which resulted in neurogenic diabetes insipidus secondary to cerebral edema. The patient died before the liver transplantation could be carried out.
Conclusion:
Neurogenic diabetes insipidus is well recognized in the neurosurgical population as a consequence of cerebral edema and increased intracranial pressure, both of which occur commonly in patients with subacute liver failure.
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