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Severe Hypernatremia with Craniopharyngioma - A Case Report -
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Jun Bum Park, Se Hun Park, Eun Hui Seo, Hyun Seok Park, Jin Kyu Jeong
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Korean J Crit Care Med. 2013;28(1):46-50.
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DOI: https://doi.org/10.4266/kjccm.2013.28.1.46
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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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KSCCM
