外傷性尿崩症の1剖検例

Post-traumatic Diabetes Insipidus:Report of an Autopsy Case

Ⅰ．緒言

　近年の交通外傷の増加に伴い比較的稀とされていた外傷性尿崩症の報告も増加しているが，本邦においてはその剖検例はほとんど知られていない．私達は最近，頭部外傷後に発生したと思われる尿崩症の1剖検例を経験したので，若干の文献的考察を加えて報告する．

There has been 43 cases of post-traumatic diabetes insipidus reported in this country to our knowledge, but little is known about their pathological findings.

The patient was a 40 year old man who had severe head injury by traffic accident on July 1st, 1974. Soon after the injury, he became semicomatous and transferred to Hokkaido University Hospital. Neurologic examination on admission revealed anisocoria with bilateral absent light reflex and generalized hypereflexia. No decerebrate posture was seen. Respiratory distress and arrhythmia were observed.