Related Experiment Video
Updated: Jul 8, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery
Denise E Zantut-Wittmann1, Heraldo Mendes Garmes, Anita Denardo Panzan
1Endocrinology Division, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo 126, Campinas, SP. zantutw@fcm.unicamp.br
Unlabelled:
The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs.
Case Report:
This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis.
Conclusion:
The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed.
Related Concept Videos
Diabetes Insipidus II: Pathophysiology
Diabetes Insipidus I: Introduction
Hemodialysis II: Procedure and Complications
Hyperosmolar Hyperglycemic State
Disorder of Water Balance
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Cytotoxic Edema: Pathophysiology

