Immediate postoperative death due to hypothalamic injury following surgery for craniopharyngioma.
Autonomic disturbances due to hypothalamic injury that result in postoperative death are rare complications following surgery for craniopharyngioma. We discuss the case of a child who died due to hypothalamic injury following radical excision of a multi-compartmental craniopharyngioma. Mechanisms and clinical manifestations of hypothalamic injury and ways to avoid this fatal complication are discussed.
Bahuleyan
Biji
B
Department of Neurosurgery, Sri Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695 011, India.
Menon
Girish
G
Nair
Suresh
S
D001342:Autonomic Nervous System Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D002648:Child; D003397:Craniopharyngioma / Q000473:pathology / Q000601:surgery*; D003399:Craniotomy; D019299:Decompression, Surgical; D003919:Diabetes Insipidus / Q000188:drug therapy / Q000209:etiology; D017809:Fatal Outcome; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000503:physiopathology; D007031:Hypothalamus / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008305:Malignant Hyperthermia / Q000209:etiology; D019635:Neurosurgical Procedures / Q000009:adverse effects* / Q000379:methods; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology; D020542:Third Ventricle / Q000473:pathology / Q000601:surgery