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Management of adipsia by a behavioural modification technique.

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  • 1. Regional Neurological Rehabilitation Unit, Homerton Hospital, London, UK.
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    • Johnston S 1
    (1 author)

Journal of Neurology, Neurosurgery, and Psychiatry, 01 Mar 1991, 54(3):272-274
https://doi.org/10.1136/jnnp.54.3.272 PMID: 2030358 PMCID: PMC1014400

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Abstract 

Adipsia combined with diabetes insipidus after hypothalamic damage may produce major difficulties in clinical management. If there is an associated memory impairment it may be impossible to teach self-regulation of fluid balance, necessitating long-term hospital supervision. The successful use of a behaviour modification technique to achieve independent drinking and allow discharge from hospital into the community is described in a patient with adipsia, diabetes insipidus and memory impairment resulting from the removal of a craniopharyngioma.

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J Neurol Neurosurg Psychiatry. 1991 Mar; 54(3): 272–274.
PMCID: PMC1014400
PMID: 2030358

Management of adipsia by a behavioural modification technique.

S Johnston, J Burgess, T McMillan, and R Greenwood
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Abstract

Adipsia combined with diabetes insipidus after hypothalamic damage may produce major difficulties in clinical management. If there is an associated memory impairment it may be impossible to teach self-regulation of fluid balance, necessitating long-term hospital supervision. The successful use of a behaviour modification technique to achieve independent drinking and allow discharge from hospital into the community is described in a patient with adipsia, diabetes insipidus and memory impairment resulting from the removal of a craniopharyngioma.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • ANDERSSON B, MCCANN SM. The effect of hypothalamic lesions on the water intake of the dog. Acta Physiol Scand. 1956 Feb 20;35(3-4):312–320. [Abstract] [Google Scholar]
  • Fitzsimons JT. Thirst. Physiol Rev. 1972 Apr;52(2):468–561. [Abstract] [Google Scholar]
  • Robertson GL, Aycinena P, Zerbe RL. Neurogenic disorders of osmoregulation. Am J Med. 1982 Feb;72(2):339–353. [Abstract] [Google Scholar]
  • Eames P, Wood R. Rehabilitation after severe brain injury: a follow-up study of a behaviour modification approach. J Neurol Neurosurg Psychiatry. 1985 Jul;48(7):613–619. [Europe PMC free article] [Abstract] [Google Scholar]
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