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KMID : 0604020130280010046
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Korean Journal of Critical Care Medicine
2013 Volume.28 No. 1 p.46 ~ p.50
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Severe Hypernatremia with Craniopharyngioma - A Case Report -
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Park Jun-Bum
Park Se-Hun
Seo Eun-Hui
Park Hyun-Seok
Jeong Jin-Kyu
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Abstract
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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 patient 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.
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KEYWORD
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craniopharyngioma, diabetes insipidus, general anesthesia, severe hypernatremia
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