[Water-electrolyte and endocrine disorders after craniopharyngomectomy in a child].
The paper considers a type of three-phase course of diabetes insipidus with the development of the syndrome of inadequate secretion of antidiuretic hormone (SIADH) in a child after radical removal of endosupracellar craniopharyngoma. The parameters of cerebral blood flow, homeostatic fluctuations, the blood levels of thyroid hormones were compared with the time course of changes in the patient's clinical status. SIADH was accompanied by impaired consciousness, convulsion, developed common edematous syndrome, including interstitial edema of the lung, progressive suprarenal and thyroid insufficiency. The concurrence of SIADH with polyhormonal deficiency and the edematous syndrome determined the lines of intensive care.
Savin
I A
IA
Goriachev
A S
AS
Parfenov
A L
AL
D002675:Child, Preschool; D003397:Craniopharyngioma / Q000601:surgery*; D003919:Diabetes Insipidus / Q000188:drug therapy / Q000209:etiology; D004700:Endocrine System Diseases / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D007177:Inappropriate ADH Syndrome / Q000188:drug therapy* / Q000209:etiology; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D011184:Postoperative Period; D013963:Thyroid Hormones / Q000097:blood; D014883:Water-Electrolyte Imbalance
D005938:Glucocorticoids; D013963:Thyroid Hormones; D006854:Hydrocortisone