Abstract
Central diabetes insipidus (CDI) is a common complication of pituitary surgery. However, it is most frequently transient. It is defined by the excretion of an abnormally large volume of dilute urine with increasing serum osmolality. The reported incidence of CDI after pituitary surgery is variable; ranging from 0-90 %. Large tumor size, gross total resection, and intraoperative cerebrospinal fluid (CSF) leak usually have an increased risk of CDI as also seen with craniopharyngioma and Rathke’s cleft cysts. It can be associated with high morbidities and mortality if not promptly recognized and treated on time. It is essential to rule out other causes of postoperative polyuria to avoid unnecessary pharmacotherapy and iatrogenic hyponatremia. Once the diagnosis of CDI is established, close monitoring is required to evaluate the response to treatment and to determine whether the CDI is transient or permanent. This review outlines the evaluation and management of patients with CDI after pituitary and suprasellar tumors surgery to help recognize the diagnosis, consider the differential diagnosis, initiate therapeutic interventions, guide monitoring, and long-term management.
Publication Date
8-29-2021
First Page
354
Last Page
364
Creative Commons License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.
Recommended Citation
Almalki, Mussa; Arabia, Faculty of Medicine, King Saud Bin Abdul Aziz University of Health Sciences, Riyadh, Saudi; Ahmad, Maswood M.; Brema, Imad; Almehthel, Mohammed; Canada, Division of Endocrinology, University of British Columbia, Vancouver,; AlDahmani, Khaled M.; Emirates, Department of Medicine, United Arab Emirates University, Al Ain, United Arab; Mahzari, Moeber; Arabia, Department of Medicine, Ministry of National Guard Health Affair, Riyadh, Saudi; Beshyah, Salem A.; and Emirates, Department of Endocrinology, Mediclinic Airport Road, Abu Dhabi, United Arab
(2021)
"Management of Diabetes Insipidus following Surgery for Pituitary and Suprasellar Tumors,"
Sultan Qaboos University Medical Journal: Vol. 21: 354-364.
DOI: https://doi.org/10.18295/squmj.4.2021.010
