title: [Water electrolyte disorders in the postoperative clinical picture of basal-diencephalitic tumors].
abstract: The paper deals with the relationship of homeostatic and motivational disorders in the postoperative clinical picture in basal-diencephalic tumors. The material included 354 clinical observations of: hypophysial adenoma (n = 135); craniopharyngioma (n = 71); tumors of the third ventricle (n = 88); basal meningiomas (n = 60). A comparative analysis of the findings allowed the authors to support that there are typical variants of changes in the patients' status, which reflect the nature of ion-osmotic disorders. The most significant mental disorders were transient hyperosmolar-hypernatriemic disturbances. The poor predictors were persistent hypernatriemia concurrent with evolving coma, systemic hemodynamic and respiratory disorders. Hyponatriemia is a better predictor of ionosmotic disorders, which requires a careful postoperative monitoring and a comparison of its findings with the specific features of intensive care performed.
authors.forename: V G
authors.initials: VG
authors.lastname: Amcheslavskií
authors.forename: N N
authors.initials: NN
authors.lastname: Bragina
authors.forename: T A
authors.initials: TA
authors.lastname: Dobrokhotova
authors.forename: I A
authors.initials: IA
authors.lastname: Voronina
authors.forename: I A
authors.initials: IA
authors.lastname: Savin
authors.forename: N A
authors.initials: NA
authors.lastname: Alieva
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000601:surgery*; D003397:Craniopharyngioma / Q000473:pathology / Q000601:surgery; D004027:Diencephalon / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006955:Hypernatremia / Q000209:etiology / Q000523:psychology; D007010:Hyponatremia / Q000209:etiology / Q000523:psychology; D008297:Male; D008579:Meningioma / Q000473:pathology / Q000601:surgery; D001523:Mental Disorders / Q000209:etiology; D011183:Postoperative Complications; D014883:Water-Electrolyte Imbalance / Q000209:etiology*