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Korean J Crit Care Med > Volume 28(1); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(1): 46-50. doi: https://doi.org/10.4266/kjccm.2013.28.1.46
두개인두종 수술 말기에 급격히 발생한 심각한 고나트륨혈증
박준범ㆍ박세훈*ㆍ서은희*ㆍ박현석ㆍ정진규*
울산대학교 의과대학 울산대학교병원 신경외과학교실, *마취통증의학교실
Severe Hypernatremia with Craniopharyngioma - A Case Report -
Jun Bum Park, Se Hun Park, Eun Hui Seo, Hyun Seok Park, Jin Kyu Jeong
1Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
2Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. nurunbab@hotmail.com
ABSTRACT
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.
Key Words: craniopharyngioma; diabetes insipidus; general anesthesia; severe hypernatremia
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