Related Experiment Videos
[Intracranial surgery under hemodialysis (author's transl)]
No Shinkei Geka. Neurological Surgery
|February 1, 1978
Summary
This report details a successful pituitary adenoma surgery on a patient undergoing hemodialysis for chronic renal failure. The surgery was safely performed, and the patient experienced a favorable outcome with improved urinary output post-operation.
Area of Science:
- Neurosurgery
- Nephrology
- Endocrinology
Background:
- A 43-year-old male with chronic renal failure requiring hemodialysis presented with progressive visual disturbances.
- Neurological assessment revealed decreased visual acuity and bitemporal hemianopsia, indicative of a potential pituitary adenoma.
Observation:
- Radiological imaging showed an enlarged sella turcica and a calcified suprasellar mass.
- Severe anemia was noted, necessitating a delay in surgical intervention until hematocrit levels improved.
- The pituitary adenoma was encased in a calcified capsule, requiring careful removal during surgery.
Findings:
- The patient underwent successful surgical removal of the pituitary adenoma under general anesthesia while on hemodialysis.
- Postoperative management included peritoneal dialysis and management of newly developed diabetes insipidus.
- The patient's urinary output increased significantly post-surgery, potentially linked to diabetes insipidus.
Implications:
- This case demonstrates the feasibility of surgical intervention for pituitary adenoma in patients with chronic renal failure undergoing hemodialysis.
- The development of diabetes insipidus, while a complication, favorably impacted fluid management in this specific patient.
- Management strategies for patients with co-existing pituitary and renal conditions require careful consideration of both hematological and fluid balance parameters.