WebMay 19, 2024 · In the triphasic pattern, the patient goes into CDI, followed by a second oliguric phase of SIADH, and then the third phase of permanent CDI [18,19]. The case presented here developed permanent CDI. Attempts to decrease the dose of dDAVP resulted in polyuria with low USG and urine osmolality and high serum sodium. WebJan 1, 2024 · Patients treated with pituitary surgery can also demonstrate postoperative SIADH, leading to hyponatremia (serum sodium levels < 135 mmol/L), which can be isolated, or an interphase of the previously mentioned triphasic ADH response or attributed to infection, pain, or medications. 17 Overtreatment with desmopressin or vasopressin can …
TRIPHASIC RESPONSE FOLLOWING PITUITARY SURGERY
WebOct 27, 2024 · Case 1: Triphasic Response A 42-year-old female was diagnosed with a nonfunctioning pituitary tumor after presenting with bitemporal hemianopia and fatigue. She had secondary adrenal insufficiency, secondary hypothyroidism, hypogonadotropic … ford hillsdale michigan
Endocrine Disorders in Children with Brain Tumors: At Diagnosis, after …
WebThe triphasic response of pituitary stalk injury has previously been described in a minority of patients following intracranial surgery, however, this phenomenon can also occur after traumatic brain injury. WebMar 29, 2024 · Her pituitary function was evaluated and showed an abnormal response to an adrenocorticotropic hormone stimulation test, with a baseline morning cortisol level of 52.42 nmol/l (normal range... WebFeb 22, 2012 · Rarely, a triphasic response is observed, with initial diabetes insipidus resolving after 3 or 4 d, followed by a period of hyponatremia and antidiuresis, before permanent diabetes insipidus occurs up to 2 wk postoperatively. The triphasic response is discussed in more detail in Management of diabetes insipidus. ford hillsborough nc