Severe Hypernatremia with Craniopharyngioma - A Case Report -

Jun Bum Park, Se Hun Park, Eun Hui Seo, Hyun Seok Park, Jin Kyu Jeong
2013 The Korean Journal of Critical Care Medicine  
Korean J Crit Care Med ■ 증 례 ■ 2013 February 28(1):46-50 / http://dx. Hypernatremia, defined as a rise in the serum sodium concentration to a value exceeding 145 mM/L, is a common electrolyte disorder. Diabetes insipidus is a common cause of hypernatremia, caused by impaired production or reduced responses to vasopressin. The resultant morbidity may be inconsequential, serious, or even life-threatening. However, hypernatremia rarely occurs during anesthesia and surgery. A 45-year-old female
more » ... ent with craniopharyngioma was scheduled for tumor resection. Hypernatremia (serum sodium, 170 mM/L) occurred suddenly at the end of the surgery. To treat hypernatremia, 0.45% normal saline was used. Although serum sodium concentration was reduced faster than expected, the patient did not have any complications.
doi:10.4266/kjccm.2013.28.1.46 fatcat:sklazlgk25frxo723x24sfkahi