TY  - JOUR
T1  - Is Tolvaptan in the Treatment of SIADH Following Pituitary Surgery a Right Choice?
AU  - Karakose, Suleyman
AU  - Bal, Ayse Zeynep
AU  - Unverdi, Selman
AU  - Duranay, Murat
PY  - 2016
DA  - July
DO  - 10.5455/umj.20160703095035
JF  - The Ulutas Medical Journal
JO  - ULUTAS MED J
PB  - Kemal Türker ULUTAŞ
WT  - DergiPark
SN  - 2149-0430
SP  - 154
EP  - 156
VL  - 2
IS  - 3
LA  - en
AB  - Background: Fluid and electrolyte disturbances, especially hyponatremia are common complications after pituitary surgeries. Syndrome of inappropriate antidiuretic hormone secretion  SIADH  is the leading cause of hyponatremia in hospitals. Fluid restriction is the first step in treatment of SIADH. In rare cases vasopressin receptor inhibitors might be useful for medical treatment.   Case Presentation: In this paper, we present a case of SIADH after a pituitary surgery with an unpredictable effect of tolvaptan.  Conclusion: Tolvaptan is the most preferred agent for the treatment of SIADH nowadays. However tolvaptan might   cause unpredictable situations in the course of treatment that clinicians must be very careful and in close follow   up the patient.
KW  - Hypernatremia
KW  - hyponatremia
KW  - pituitary surgery
KW  - SIADH
KW  - tolvaptan
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UR  - https://doi.org/10.5455/umj.20160703095035
L1  - http://dergipark.org.tr/tr/download/article-file/920217
ER  -