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CC BY 4.0 · J Neuroanaesth Crit Care 2023; 10(02): 115-117
DOI: 10.1055/s-0043-1763267
Case Report

Intraoperative Central Diabetes Insipidus during Aneurysmal Clipping Surgery: An Unusual Phenomenon

Chayanika Kutum
1   Department of Anaesthesiology and Intensive Care, Neuroanaesthesia Unit, G.B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
,
Priyanka Khurana
1   Department of Anaesthesiology and Intensive Care, Neuroanaesthesia Unit, G.B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
,
Karandeep Singh
1   Department of Anaesthesiology and Intensive Care, Neuroanaesthesia Unit, G.B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
,
Pragati Ganjoo
1   Department of Anaesthesiology and Intensive Care, Neuroanaesthesia Unit, G.B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
,
Daljit Singh
2   Department of Neurosurgery, G.B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
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Abstract

Central diabetes insipidus (DI) is a known complication associated with pituitary surgeries occurring in postoperative period. However, development of DI following aneurysmal subarachnoid hemorrhage (SAH) is rarely reported. We describe here a case of intraoperative DI in a patient undergoing aneurysmal clipping surgery that posed a challenge for both diagnosis and management. Intraoperative development of central DI was attributed to the evolving ischemic injury to the hypothalamus at the time of rebleeding that was not apparent in the preoperative scan. DI resolved postoperatively after 18 hours of medical management. A careful observation of preoperative scans and vigilant monitoring may help in early diagnosis and management of such complication in the perioperative period.

Keywords

central diabetes insipidus - intraoperative - subarachnoid hemorrhage - intracranial aneurysm


Publikationsverlauf

Artikel online veröffentlicht:
24. April 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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