Hypopituitarism and Central Diabetes Insipidus Perioperative Diagnosis and Management

被引:23
作者
Devin, Jessica K. [1 ]
机构
[1] Vanderbilt Univ, Div Diabet Endocrinol & Metab, Med Ctr, Nashville, TN 37232 USA
关键词
Pituitary tumor; Adrenal insufficiency; Diabetes insipidus; Hyponatremia; Hypopituitarism; NONFUNCTIONING PITUITARY-ADENOMAS; TRANSSPHENOIDAL SURGERY; ADRENAL AXIS; REPLACEMENT; INSUFFICIENCY; HYPONATREMIA; IMPACT;
D O I
10.1016/j.nec.2012.06.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pituitary tumors are a unique class of intracranial neoplasms with the potential to disrupt hormone function and water metabolism. Preoperative and postoperative endocrine assessment is mandatory to recognize and promptly treat new deficiencies and identify those that have resolved. Close collaboration among neurosurgical, endocrine, and anesthetic teams is equally vital during the perioperative period. Appropriate patient education at the time of discharge regarding the symptoms of diabetes insipidus, hyponatremia, and adrenal insufficiency is increasingly important.
引用
收藏
页码:679 / +
页数:12
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