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Type: Artigo de periódico
Title: Severe Rhabdomyolysis Due To Adipsic Hypernatremia After Craniopharyngioma Surgery.
Author: Zantut-Wittmann, Denise E
Garmes, Heraldo Mendes
Panzan, Anita Denardo
Lima, Marcelo de Oliveira
Baptista, Maria Tereza Matias
Abstract: The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs. This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis. The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed.
Subject: Administration, Intranasal
Creatine Kinase
Diabetes Insipidus
Pituitary Neoplasms
Postoperative Complications
Citation: Arquivos Brasileiros De Endocrinologia E Metabologia. v. 51, n. 7, p. 1175-9, 2007-Oct.
Rights: aberto
Date Issue: 2007
Appears in Collections:Unicamp - Artigos e Outros Documentos

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