Management of diabetes insipidus following surgery for pituitary and suprasellar tumors

Joint Authors

al-Dahmani, Khalid M.
al-Maliki, Musa
Ahmad, Masud Muhammad
Brimah, Imad
al-Mihdhal, Muhammad
Mahzari, Moeber
Bishayyah, Salim A.

Source

Sultan Qaboos University Medical Journal

Issue

Vol. 21, Issue 3 (31 Aug. 2021), pp.354-364, 11 p.

Publisher

Sultan Qaboos University College of Medicine and Health Sciences

Publication Date

2021-08-31

Country of Publication

Oman

No. of Pages

11

Main Subjects

Medicine

Abstract EN

Central diabetes insipidus (CDI) is a common complication of pituitary surgery.

However, it is most frequently transient.

It is defined by the excretion of an abnormally large volume of dilute urine with increasing serum osmolality.

The reported incidence of CDI after pituitary surgery is variable; ranging from 0-90 %.

Large tumor size, gross total resection, and intraoperative cerebrospinal fluid (CSF) leak usually have an increased risk of CDI as also seen with craniopharyngioma and Rathke’s cleft cysts.

It can be associated with high morbidities and mortality if not promptly recognized and treated on time.

It is essential to rule out other causes of postoperative polyuria to avoid unnecessary pharmacotherapy and iatrogenic hyponatremia.

Once the diagnosis of CDI is established, close monitoring is required to evaluate the response to treatment and to determine whether the CDI is transient or permanent.

This review outlines the evaluation and management of patients with CDI after pituitary and suprasellar tumors surgery to help recognize the diagnosis, consider the differential diagnosis, initiate therapeutic interventions, guide monitoring, and long-term management.

American Psychological Association (APA)

al-Maliki, Musa& Ahmad, Masud Muhammad& Brimah, Imad& al-Mihdhal, Muhammad& al-Dahmani, Khalid M.& Mahzari, Moeber…[et al.]. 2021. Management of diabetes insipidus following surgery for pituitary and suprasellar tumors. Sultan Qaboos University Medical Journal،Vol. 21, no. 3, pp.354-364.
https://search.emarefa.net/detail/BIM-1346649

Modern Language Association (MLA)

al-Maliki, Musa…[et al.]. Management of diabetes insipidus following surgery for pituitary and suprasellar tumors. Sultan Qaboos University Medical Journal Vol. 21, no. 3 (Aug. 2021), pp.354-364.
https://search.emarefa.net/detail/BIM-1346649

American Medical Association (AMA)

al-Maliki, Musa& Ahmad, Masud Muhammad& Brimah, Imad& al-Mihdhal, Muhammad& al-Dahmani, Khalid M.& Mahzari, Moeber…[et al.]. Management of diabetes insipidus following surgery for pituitary and suprasellar tumors. Sultan Qaboos University Medical Journal. 2021. Vol. 21, no. 3, pp.354-364.
https://search.emarefa.net/detail/BIM-1346649

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 361-364

Record ID

BIM-1346649