Hiponatremia sintomática como forma de presentación clínica de un macroadenoma hipofisiario: Comunicación de tres casos

• Jorge Vega ^[1] ; Helmuth Goecke ^[1] ; Alejandra Carrasco ^[1] ; Daniela Jensen ^[1] ; Cristián Avilés ^[1] ; Francisca Brusco ^[1] ; Renato González ^[1] ; Mario Santamarina ^[2]
  1. [1] Hospital Naval A. Nef Servicio de Medicina
  2. [2] Hospital Naval A. Nef Servicio de Radiología
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 12, 2009, págs. 1607-1612
• Idioma: español
• Títulos paralelos:
  • Hyponatremia associated to pituitary adenomas: Report of three patients
• Enlaces
  • Texto completo
• Resumen

  • Severe hyponatremia occurring as the presenting feature of hypopituitarism secondary to pituitary adenomas is rare. We report three patients with this condition: Two elderly males (74 and 78 year-old) presenting with impaired consciousness and low plasma sodium after an episode of diarrhea and a 56-year-old male presenting with impaired consciousness after an episode of vomiting. All had clinical features of hypopituitarism and pituitary adenomas were found on imaging studies. Two were subjected to a trans sphenoidal resection of the adenoma.