Abstract | BACKGROUND: Water and electrolyte disorders commonly encountered in children post-surgery involving hypothalamus and posterior pituitary, are central diabetes insipidus, syndrome of inappropriate secretion of anti- diuretic hormone and cerebral salt wasting disease. Delayed diagnosis and inadequate management of such cases may lead to worsened neurological outcomes with a high mortality rate. CASE PRESENTATION: CONCLUSION: In such cases development of hyponatremia should always prompt consideration of unusual causes like cerebral salt wasting disease in addition to the classically described syndrome of inappropriate secretion of anti- diuretic hormone. Hence, a thorough knowledge of these disorders along with intensive monitoring of fluid and sodium status is critical for timely diagnosis and management of these patients.
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Authors | Patel Zeeshan Jameel, Sham Lohiya, Keta Vagha, Tauheed Ahmed, Divya Pujari, Jayant Vagha, Ashish Varma |
Journal | BMC pediatrics
(BMC Pediatr)
Vol. 21
Issue 1
Pg. 502
(11 10 2021)
ISSN: 1471-2431 [Electronic] England |
PMID | 34758770
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2021. The Author(s). |
Topics |
- Child
- Craniopharyngioma
(complications, surgery)
- Diabetes Insipidus, Neurogenic
(diagnosis, etiology)
- Diabetes Mellitus
- Female
- Humans
- Hyponatremia
(diagnosis, etiology)
- Pituitary Neoplasms
(complications, diagnosis, surgery)
- Wasting Syndrome
(diagnosis, etiology)
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