Severe Hypernatremia with Craniopharyngioma - A Case Report -.
10.4266/kjccm.2013.28.1.46
- Author:
Jun Bum PARK
1
;
Se Hun PARK
;
Eun Hui SEO
;
Hyun Seok PARK
;
Jin Kyu JEONG
Author Information
1. Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
- Publication Type:Case Report
- Keywords:
craniopharyngioma;
diabetes insipidus;
general anesthesia;
severe hypernatremia
- MeSH:
Anesthesia;
Anesthesia, General;
Craniopharyngioma;
Diabetes Insipidus;
Female;
Humans;
Hypernatremia;
Sodium;
Vasopressins
- From:The Korean Journal of Critical Care Medicine
2013;28(1):46-50
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypernatremia, defined as a rise in the serum sodium concentration to a value exceeding 145 mM/L, is a common electrolyte disorder. Diabetes insipidus is a common cause of hypernatremia, caused by impaired production or reduced responses to vasopressin. The resultant morbidity may be inconsequential, serious, or even life-threatening. However, hypernatremia rarely occurs during anesthesia and surgery. A 45-year-old female patient with craniopharyngioma was scheduled for tumor resection. Hypernatremia (serum sodium, 170 mM/L) occurred suddenly at the end of the surgery. To treat hypernatremia, 0.45% normal saline was used. Although serum sodium concentration was reduced faster than expected, the patient did not have any complications.
