AI Article Synopsis
- Disturbances in plasma sodium levels, especially hyponatremia and diabetes insipidus, commonly occur after craniopharyngioma resection in children, requiring careful management to prevent neurological issues.
- A study at Hôpital Femme Mère Enfant evaluated 26 pediatric patients post-surgery, finding that 65.4% experienced both initial diabetes insipidus and subsequent hyponatremia, with those showing triphasic syndrome having more severe MRI findings.
- Effective management of dysnatremia is crucial to minimize sodium fluctuations and avoid long-term neurological complications in these patients.
Article Abstract
Introduction: Disturbances in plasma sodium levels are a major complication following recent resections of craniopharyngiomas in children. They must be properly managed to avoid neurological sequelae. We aimed to describe the variations and characteristics of postoperative natremia in children who had undergone a first craniopharyngioma resection with a particular focus on the frequency of triphasic syndrome in these patients.
Methods: Paediatric patients with craniopharyngiomas who underwent a first surgical resection in the neurosurgery department of the Hôpital Femme Mère Enfant (Lyon, France) between January 2010 and September 2021 were included in the present study and the medical records were analysed retrospectively.
Results: A total of 26 patients were included. Of these, 17 (65.4%) had a postoperative course characterised by the occurrence of both initial diabetes insipidus (DI) and hyponatremia a few days later. Eight patients (30.8%) presented then with isolated and persistent DI. Patients with the triphasic syndrome had a significantly higher grade of Puget classification on MRI (1 and 2), compared to the other patients.
Conclusion: Dysnatremia is common after craniopharyngioma resections in children. This immediate postoperative complication is particularly difficult to manage and requires rapid diagnosis and prompt initiation of medical treatment to minimize fluctuations in sodium levels and avoid neurological sequelae.
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| http://dx.doi.org/10.1007/s00381-024-06451-3 | DOI Listing |
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