RT Journal Article
SR Electronic
T1 Embolization of the Meningohypophyseal Trunk as a Cause of Diabetes Insipidus
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1115
OP 1118
VO 20
IS 6
A1 Phatouros, Constantine C.
A1 Higashida, Randall T.
A1 Malek, Adel M.
A1 Smith, Wade S.
A1 Dowd, Christopher F.
A1 Halbach, Van V.
YR 1999
UL http://www.ajnr.org/content/20/6/1115.abstract
AB Summary: We present an unusual case of diabetes insipidus occurring after selective embolization of 50% dextrose and pure ethanol into an enlarged left meningohypophyseal trunk (MHT) supplying a dural carotid cavernous fistula. The inferior hypophyseal artery was not opacified during the selective preembolization MHT injection; however, diabetes insipidus developed abruptly a few hours after the procedure. The patient required intranasal 1-deamino-(8-D-arginine)-vasopressin for approximately 3 months, after which his symptoms resolved. The hazards of using liquid embolic agents, especially ethanol, in the cavernous branches of the internal carotid artery should always be borne in mind.