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- Title
Water and Electrolyte Disorders at Long-Term Post-Treatment Follow-Up in Paediatric Patients with Suprasellar Tumours Include Unexpected Persistent Cerebral Salt-Wasting Syndrome.
- Authors
González Briceño, Laura; Grill, Jacques; Bourdeaut, Franck; Doz, François; Beltrand, Jacques; Benabbad, Imane; Brugières, Laurence; Dufour, Christelle; Valteau-Couanet, Dominique; Guerrini-Rousseau, Léa; aerts, Isabelle; Orbach, Daniel; alapetite, Claire; Samara-Boustani, Dinane; Pinto, Graziella; Simon, albane; Touraine, Philippe; Sainte-Rose, Christian; Zerah, Michel; Puget, Stéphanie
- Abstract
Background: Patients with brain tumours have a high risk of water and electrolyte disorders (WED). Postsurgery diabetes insipidus (DI) may be transient or permanent, the syndrome of inappropriate antidiuretic hormone secretion (SIADH) and cerebral salt-wasting syndrome (CSWS) are usually transient. Methods: Retrospective study, including patients with suprasellar tumours, treated at Hôpital Necker, Institut Gustave-Roussy or Institut Curie, in Île-de-France, between 2007 and 2011. WED were noted if they persisted >1 month after surgery. Results: 159 patients were included, 54.1% girls, 43.9% boys. Tumour types were: glioma (43.4%), craniopharyngioma (43.4%), germinoma (11.3%), others (1.9%). Age at diagnosis was 7.1 ± 4.6 years. The median time from end of treatment was 1.9 (0-7.8) years. DI was the most frequent disorder after tumour treatment (50.3%) and was significantly associated with surgery (p < 0.001). Persistent CSWS was present in 3.6%, persistent SIADH in 1.3%. Two cases of hypernatraemia were due to adipsia. Thyrotropin deficiency after treatment was noted in 68.9% of patients tested, adrenocorticotropin deficiency in 66.2%. Conclusions: Patients with suprasellar tumours have a high incidence of long-term WED, mainly DI. Assessment of thyrotroph and corticotroph function, and thirst sensation, is necessary to diagnose and manage these disorders correctly. CSWS may be persistent in few patients and requires special attention to prescribe the appropriate care. © 2014 S. Karger AG, Basel
- Subjects
WATER-electrolyte imbalances; DIABETES insipidus; INAPPROPRIATE ADH syndrome; PITUITARY diseases; PITUITARY surgery; PEDIATRIC endocrinology
- Publication
Hormone Research in Paediatrics, 2015, Vol 82, Issue 6, p364
- ISSN
1663-2818
- Publication type
Article
- DOI
10.1159/000368401