Treatment of alternated water-electrolyte balance and endocrine status after removal of craniopharyngioma in adults.
BACKGROUND
Water-electrolyte disturbance and endocrine alterations are common complications of adult patients with craniopharygioma in the postoperative period and may affect their recovery and prognosis. Some of these complications even lead to death. Appropriate remedy based upon the status of water-electrolyte balance and the endocrine system is essential to good therapeutic results of adult patients with craniopharyngioma.


METHODS
The alterations in water-electrolyte balance (117 patients) and endocrine status (42) of adult patients with craniopharyngioma after surgery were analyzed retrospectively.


RESULTS
Most patients with craniopharyngioma experienced postoperative water-electrolyte disturbances and hypotonic dehydration. Moreover, the incidences of hypothyroidism and hypoadrenocorticism were relatively high.


CONCLUSIONS
It is critical to deal with dehydration and endocrine disorders for a sound outcome of craniopharyngioma surgery.
Wang
Lei
L
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Zhao
Shang-feng
SF
Zhang
Wei
W
Zhang
Mao-zhi
MZ
D000293:Adolescent; D000328:Adult; D003397:Craniopharyngioma / Q000150:complications / Q000601:surgery*; D004702:Endocrine Glands / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014883:Water-Electrolyte Imbalance / Q000209:etiology / Q000503:physiopathology*