Dysautonomia Complicated by DDAVP Use for Diabetes Insipidus
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This is the case of a normal, healthy 42-year old woman who sustained injuries in a spinning motor vehicle accident, leaving her with a series of diagnoses including Dysautonomia, that stumped all doctors. Because she was a Stanford-trained anesthesiologist and intensivist, she was able to self-diagnose several major illnesses, including traumatic brain injury (TBI), diabetes insipidus (DI), vertebral artery dissection (VAD) with aneurysm, oculo-vestibular dysfunction, and hypothyroidism. The DI required prescription DDAVP therapy to prevent dehydration and death. Here, we focus on the entities of the “see-saw” effect that DDAVP has on Total Body Water (TBW), hyponatremia, hypernatremia, and the complications arising from the chronic, underlying hypovolemic state of dysautonomia. Dysautonomia, an “Invisible Illness” causing dysfunction of the autonomic nervous system, is a frequently undiagnosed, hypovolemic state that can lead to syncope....

http://medcraveonline.com/PPIJ/PPIJ-04-00073.php
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