Hyponatremia with pituitary tumor---One case of syndrome of inappropriate antidiuretic hormone secretion
10.3760/cma.j.issn.1000-6699.2016.12.009
- VernacularTitle:顽固性低钠血症伴垂体肿瘤--不适当抗利尿激素分泌综合征一例
- Author:
Tingwei SU
;
Jie HONG
;
Jianmin LIU
;
Weiqing WANG
- Keywords:
Syndrome of inappropriate antidiuretic hormone;
Hyponatremia;
Pituitary adenoma
- From:
Chinese Journal of Endocrinology and Metabolism
2016;32(12):1023-1026
- CountryChina
- Language:Chinese
-
Abstract:
A 57-year-old female patient was admitted to our hospital because of sustained hyponatremia within stress dose of hydrocortisone replacement after transsphenoidal partial pituitary tumor surgery. Multiple clinical parameters investigation for 2 weeks was shown increasing serum Na+and uric acid level and decreasing blood pressure level under water restriction about 500 ml/d, and even without hydrocortisone replacement, the serum Na+ still maintain normal level. After surgeries and radiotherapy, the tumor was undetectable and serum Na+ level was within the normal range without any water restriction.