Transient hyponatriemia complicated by seizures after endoscopic third ventriculostomy.
We present an infant who underwent endoscopic third ventriculostomy due to symptomatic hydrocephalus secondary to aqueductal stenosis. This is the first reported case of inappropriate secretion of antidiuretic hormone complicated by hyponatriemia and seizures following endoscopic surgery. The possibility of such a neuroendoscopic complication should alert neurosurgeons and close observation of serum electrolytes is highly recommended in the acute postoperative period, particularly in infants.
Department of Neurosurgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, Newark, USA.
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Vaicys
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Fried
D004724:Endoscopy; D016489:Head Injuries, Closed / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000601:surgery*; D007010:Hyponatremia / Q000000981:diagnostic imaging / Q000209:etiology*; D007177:Inappropriate ADH Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D012640:Seizures / Q000000981:diagnostic imaging / Q000209:etiology*; D020542:Third Ventricle / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy