Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report

Abstract Background Water and electrolyte disorders commonly encountered in children post-surgery involving hypothalamus and posterior pituitary, are central diabetes insipidus, syndrome of inappropriate secretion of anti-diuretic hormone and cerebral salt wasting disease. Delayed diagnosis and inad...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Patel Zeeshan Jameel, Sham Lohiya, Keta Vagha, Tauheed Ahmed, Divya Pujari, Jayant Vagha, Ashish Varma
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Central diabetes insipidus Cerebral salt wasting disease Craniopharyngioma Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/728c4cc5ce47400bb6ffb437b8bd841c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:728c4cc5ce47400bb6ffb437b8bd841c
record_format	dspace
spelling	oai:doaj.org-article:728c4cc5ce47400bb6ffb437b8bd841c2021-11-14T12:33:23ZConcurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report10.1186/s12887-021-02982-91471-2431https://doaj.org/article/728c4cc5ce47400bb6ffb437b8bd841c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-02982-9https://doaj.org/toc/1471-2431Abstract Background Water and electrolyte disorders commonly encountered in children post-surgery involving hypothalamus and posterior pituitary, are central diabetes insipidus, syndrome of inappropriate secretion of anti-diuretic hormone and cerebral salt wasting disease. Delayed diagnosis and inadequate management of such cases may lead to worsened neurological outcomes with a high mortality rate. Case presentation Here we report the case of a 7-year-old girl who underwent surgical resection of a craniopharyngioma, following which she initially developed central diabetes insipidus. However, later on in the course of her illness she developed symptomatic hyponatremia with natriuresis which was diagnosed to be due to cerebral salt wasting disease. This combination of central diabetes insipidus and cerebral salt wasting syndrome is a rare occurrence and poses a diagnostic challenge. Diagnosis and management can be even more difficult when these conditions precede or coexist with each other. Conclusion In such cases development of hyponatremia should always prompt consideration of unusual causes like cerebral salt wasting disease in addition to the classically described syndrome of inappropriate secretion of anti-diuretic hormone. Hence, a thorough knowledge of these disorders along with intensive monitoring of fluid and sodium status is critical for timely diagnosis and management of these patients.Patel Zeeshan JameelSham LohiyaKeta VaghaTauheed AhmedDivya PujariJayant VaghaAshish VarmaBMCarticleCentral diabetes insipidusCerebral salt wasting diseaseCraniopharyngiomaPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Central diabetes insipidus Cerebral salt wasting disease Craniopharyngioma Pediatrics RJ1-570
spellingShingle	Central diabetes insipidus Cerebral salt wasting disease Craniopharyngioma Pediatrics RJ1-570 Patel Zeeshan Jameel Sham Lohiya Keta Vagha Tauheed Ahmed Divya Pujari Jayant Vagha Ashish Varma Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
description	Abstract Background Water and electrolyte disorders commonly encountered in children post-surgery involving hypothalamus and posterior pituitary, are central diabetes insipidus, syndrome of inappropriate secretion of anti-diuretic hormone and cerebral salt wasting disease. Delayed diagnosis and inadequate management of such cases may lead to worsened neurological outcomes with a high mortality rate. Case presentation Here we report the case of a 7-year-old girl who underwent surgical resection of a craniopharyngioma, following which she initially developed central diabetes insipidus. However, later on in the course of her illness she developed symptomatic hyponatremia with natriuresis which was diagnosed to be due to cerebral salt wasting disease. This combination of central diabetes insipidus and cerebral salt wasting syndrome is a rare occurrence and poses a diagnostic challenge. Diagnosis and management can be even more difficult when these conditions precede or coexist with each other. Conclusion In such cases development of hyponatremia should always prompt consideration of unusual causes like cerebral salt wasting disease in addition to the classically described syndrome of inappropriate secretion of anti-diuretic hormone. Hence, a thorough knowledge of these disorders along with intensive monitoring of fluid and sodium status is critical for timely diagnosis and management of these patients.
format	article
author	Patel Zeeshan Jameel Sham Lohiya Keta Vagha Tauheed Ahmed Divya Pujari Jayant Vagha Ashish Varma
author_facet	Patel Zeeshan Jameel Sham Lohiya Keta Vagha Tauheed Ahmed Divya Pujari Jayant Vagha Ashish Varma
author_sort	Patel Zeeshan Jameel
title	Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
title_short	Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
title_full	Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
title_fullStr	Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
title_full_unstemmed	Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
title_sort	concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/728c4cc5ce47400bb6ffb437b8bd841c
work_keys_str_mv	AT patelzeeshanjameel concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport AT shamlohiya concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport AT ketavagha concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport AT tauheedahmed concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport AT divyapujari concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport AT jayantvagha concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport AT ashishvarma concurrentcentraldiabetesinsipidusandcerebralsaltwastingdiseaseinapostoperativecaseofcraniopharyngiomaacasereport
_version_	1718429174527426560

Concurrent central diabetes insipidus and cerebral salt wasting disease in a post-operative case of craniopharyngioma: a case report

Ejemplares similares