Perioperative fluid and electrolyte management in children undergoing surgery for craniopharyngioma A 10-year experience in a single institution

In a retrospective study, the intra- and early postoperative data of 39 children with 46 operations for craniopharyngioma were analyzed

T. Lehrnbecher; J. Müller-Scholden; I. Danhauser-Leistner; N. Sörensen; H.-B. von Stockhausen

2002

Scholarcy highlights

  • In a retrospective study, the intra- and early postoperative data of 39 children with 46 operations for craniopharyngioma were analyzed
  • We observed that all children who did not have a pituitary stalk preserved and 5 out of 7 patients with preserved pituitary stalk developed Diabetes insipidus within 18 h of surgery
  • The time of onset of DI and secretion of antidiuretic hormone did not correlate with sex, age, body weight, location of tumor, or duration or extent of surgery
  • Parenteral desmopressin was an effective treatment for intra- and postoperative DI
  • The duration of the clinical effect of desmopressin administration varied in different patients between 4 and 23 h
  • An approach to the immediate intra- and postoperative management of children with craniopharyngioma is presented

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