Management of Diabetes Insipidus following Surgery for Pituitary and Suprasellar Tumours.
Arginine Vasopressin
Central Diabetes Insipidus
Desmopressin
Pituitary Adenoma
Pituitary Surgery
Polydipsia
Polyuria
Preoperative Risk Factor
Treatment
Journal
Sultan Qaboos University medical journal
ISSN: 2075-0528
Titre abrégé: Sultan Qaboos Univ Med J
Pays: Oman
ID NLM: 101519915
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
02
06
2020
revised:
14
08
2020
accepted:
09
08
2020
entrez:
15
9
2021
pubmed:
16
9
2021
medline:
18
9
2021
Statut:
ppublish
Résumé
Central diabetes insipidus (CDI) is a common complication after pituitary surgery. However, it is most frequently transient. It is defined by the excretion of an abnormally large volume of dilute urine with increasing serum osmolality. The reported incidence of CDI after pituitary surgery ranges from 0-90%. Large tumour size, gross total resection and intraoperative cerebrospinal fluid leak usually pose an increased risk of CDI as observed with craniopharyngioma and Rathke's cleft cysts. CDI can be associated with high morbidity and mortality if not promptly recognised and treated on time. It is also essential to rule out other causes of postoperative polyuria to avoid unnecessary pharmacotherapy and iatrogenic hyponatremia. Once the diagnosis of CDI is established, close monitoring is required to evaluate the response to treatment and to determine whether the CDI is transient or permanent. This review outlines the evaluation and management of patients with CDI following pituitary and suprasellar tumour surgery to help recognise the diagnosis, consider the differential diagnosis, initiate therapeutic interventions and guide monitoring and long-term management.
Identifiants
pubmed: 34522399
doi: 10.18295/squmj.4.2021.010
pii: squmj2108-354-364
pmc: PMC8407907
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
354-364Informations de copyright
© Copyright 2021, Sultan Qaboos University Medical Journal, All Rights Reserved.
Déclaration de conflit d'intérêts
CONFLICT OF INTEREST The authors declare no conflicts of interest.
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