Biomedical subjects
Publications and source records attributed to R Woody.
We have discussed some of the more common etiologic categories found in young patients with stroke. Though many of the causes are rare, in the aggregate they account for many of the conditions leading to stroke. In Part II of this series (July 1991), we will explore some of the less common causes of stroke in the young and outline an approach to the patient.
Evaluation of the young stroke patient often requires an interdisciplinary approach because of the complexity of the problems encountered. We discuss some of the less common causes of stroke and present an approach to the patient.
Central diabetes insipidus (DI) occurs in patients suffering from overwhelming CNS injuries leading to brain death. The purpose of this study was to describe the clinical presentation of DI in children with brain death. The medical records of 34 patients with a diagnosis of brain death were reviewed. Diuresis was present in 76% of patients; however, DI was only present in 38% of patients. On autopsy, the pituitary gland in six patients revealed varying degrees of edema, congestion, hemorrhage, and coagulative necrosis. We concluded that DI is present in many, but not all, patients who experience brain death and therefore, cannot be relied on solely as a marker of brain death.
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