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Diabetes insipidus - central - Overview

Alternative Names

Central diabetes insipidus

Definition of Diabetes insipidus - central:

Central diabetes insipidus is a rare condition that involves extreme thirst and excessive urination.

See also: Diabetes insipidus - nephrogenic

Causes, incidence, and risk factors:

Central diabetes insipidus occurs when the body has too little of the hormone vasopressin.

Vasopressin normally limits the amount of urine the body produces. Normally, the hypothalamus gland in the brain makes vasopressin, and the pituitary gland stores the hormone. Without vasopressin, the kidneys do not work properly. The result is a rapid loss of water from the body in the form of dilute urine. A person with diabetes insipidus drinks large quantities of water, driven by extreme thirst, to make up for the water loss.

The reduced levels of vasopressin associated with central diabetes insipidus may be caused by damage to the hypothalamus or pituitary gland. This damage may be related to surgery, infection, inflammation, tumor, or injury to the head.

Sometimes the cause remains unknown. Very rarely, diabetes insipidus can be caused by a genetic defect.

  • Reviewed last on: 7/28/2008
  • Robert Cooper, MD, Endocinology Specialist  and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston MA Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Bringhurst FR, Demay MB, Kronenberg HM. Disorders of Mineral Metabolism. In: Kronenberg HM, Schlomo M, Polansky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo: WB Saunders; 2008: chap. 27.

Robinson AG, Verbalis JG. Posterior Pituitary. In: Kronenberg HM, Schlomo M, Polansky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo: WB Saunders; 2008: chap. 9.

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