2008•Zhonghua xiaoerwaike zazhiRequires access
Water and serum sodium derangements after pediatric craniopharyngioma resection
Wei Xiang, Zhu Xianli, Hongyang Zhao, Fangcheng Zhang, Hong Lin, Ning Lin, Jia-shan Zhao
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Abstract
Objective To review the water and serum sodium derangements alter resection of pediatric craniopharyngioma.Methods Clinical data of 33 children with craniopharyngioma,who underwent resection,were reviewed.Results Twenty-nine patients developed diabetes insipidus.Of the 29 patients,13 recovered clinically,7 improved and 9 still had diabetes insipidus when discharged.Of 24 patients who had sodium derangement,15 patients suffered from hyponatremia,3 trom hypernatremia and 6 from mixed hypernatremia/hyponatremia.Of these 24 patients,23 recovered and 1 died of status epilepticus.Conclusions Diabetes insipidus and sodium derangement are common after resection of pediatric craniopharyngioma.
Key words:
Craniopharyngioma; Diabetes insipidus; Hyponatremia; Hypernatremia