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Peralta-Amaro AL, Márquez-Vargas MG, González-Molinero JC, Cruz-Gómez MDJ, Gómez-Piña JJ, Hernández-Jiménez CA, Cabrera-Castillo TS, Lucas-Hernández A, Carus-Sánchez A, Alvarado-García MA, Cruz-González L. Type D Adipsia with Severe Hypernatremia: A Unique Presentation of an Extensive Intracranial Germinoma. JMA J 2023; 6:226-229. [PMID: 37179712 PMCID: PMC10169266 DOI: 10.31662/jmaj.2022-0194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 01/16/2023] [Indexed: 05/15/2023] Open
Abstract
Intracranial germ cell tumors are uncommon brain tumors; germinoma is the most common tumor in children and young adults, and the most common regions affected are pineal gland and suprasellar region. Germinomas of the suprasellar region are accompanied by endocrine alterations, with adipsia being a rare presentation. Here, we present the case of a patient with an extensive intracranial germinoma whose initial presentation was adipsia, without any other endocrinological alteration, with development of severe hypernatremia and unusual manifestations derived from it, such as deep vein thrombosis, myopathy with rhabdomyolysis, and neurological axonal damage.
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Affiliation(s)
- Ana Lilia Peralta-Amaro
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Mitzi Gabriela Márquez-Vargas
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - José Carlos González-Molinero
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - María de Jesús Cruz-Gómez
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Juan José Gómez-Piña
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Carlos Alberto Hernández-Jiménez
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Tania Stefania Cabrera-Castillo
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Abihai Lucas-Hernández
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Alfonso Carus-Sánchez
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Marco Antonio Alvarado-García
- Internal Medicine Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
- Neurology Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
| | - Leopoldo Cruz-González
- Division of Postgraduate Studies, Universidad Nacional Autónoma de México, Mexico City, Mexico
- Radiology Department, Hospital de Especialidades Centro Médico Nacional "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
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