1/3. Management of adipsia by a behavioural modification technique.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.- - - - - - - - - - ranking = 1keywords = behaviour (Clic here for more details about this article) |
2/3. Haematological, neurological and psychiatric complications of chronic hypothermia following surgery for craniopharyngioma.A patient is described who became poikilothermic following surgery for removal of a craniopharyngioma. Episodes of disturbed behaviour, neurological abnormalities, pancytopenia and deranged liver function could be correlated with episodes of more profound hypothermia on a background of a chronically lowered core temperature. The association of pancytopenia and neuropsychiatric disturbances with hypothermia is discussed with reference to reported cases of periodic spontaneous hypothermia.- - - - - - - - - - ranking = 0.2keywords = behaviour (Clic here for more details about this article) |
3/3. Diencephalic tumours presenting as behavioural problems in the workplace.Two patients presented with histories of significant behavioural disturbance and deteriorated work performance. Subsequent investigations confirmed the presence of a craniopharyngioma and a prolactinoma. Occupational physicians should consider excluding organic pathology in employees with histories of an unexplained marked change in work performance and behaviour.- - - - - - - - - - ranking = 1.2keywords = behaviour (Clic here for more details about this article) |