Alghamdi Khalid, Albakri Lamair A, Alotaibi Yazeed, Alghamdi Ahmed H, Alaidarous Salwa
Neurosurgery, King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guards Health Affairs, King Abdullah International Medical Research Centre, Jeddah, SAU.
College of Medicine, King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guards Health Affairs, King Abdullah International Medical Research Centre, Jeddah, SAU.
Cureus. 2021 Sep 2;13(9):e17661. doi: 10.7759/cureus.17661. eCollection 2021 Sep.
Water homeostasis disorders, such as syndrome of inappropriate antidiuretic hormone secretion (SIADH), diabetes insipidus (DI), and cerebral salt-wasting syndrome (CSWS), can develop after neurosurgery. Additionally, DI, SIADH, and CSWS have been reported concurrently in association with some neurosurgical conditions, in particular after pituitary gland surgery or as sequelae of post-traumatic brain injury. Therefore, neurosurgeons should expect water homeostasis disorders after the removal of tumors of the sellar/suprasellar region and be prepared to aggressively manage them.
水稳态紊乱，如抗利尿激素分泌不当综合征（SIADH）、尿崩症（DI）和脑性盐耗综合征（CSWS），可在神经外科手术后发生。此外，已有报道称DI、SIADH和CSWS与某些神经外科疾病同时出现，尤其是垂体手术后或创伤性脑损伤后遗症。因此，神经外科医生应预料到蝶鞍/鞍上区肿瘤切除术后会出现水稳态紊乱，并准备好积极处理这些情况。
