Thirst, resetting of the osmostat, and water intoxication following encephalitis.

Abstract:

:A young man developed pathological thirst and hyperdipsia, hyperphagia, disordered temperature regulation, a lowered threshold for aggressive behavior, apathy, impaired memory, and seizures following encephalitis. He had marked hyponatremia. Bouts of water drinking produced water intoxication and precipitated status epilepticus. Studies of water handling with measurements of plasma osmolality and arginine vasopressin (AVP) revealed a very low thirst threshold (below 242 mOsm/kg) with resetting of the osmostat to a new level (255 mOsm/kg) but normal control of plasma osmolality at that level with adequate AVP release.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Howe JG,Penney MD,Currie S,Morgan D

doi

10.1002/ana.410130217

subject

Has Abstract

pub_date

1983-02-01 00:00:00

pages

201-4

issue

2

eissn

0364-5134

issn

1531-8249

journal_volume

13

pub_type

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