2018 AANS Annual Scientific Meeting-Endocrinology in Neurosurgery

Video Transcription

Video Summary

In this video, Dr. Donegan discusses the topic of endocrinology in neurosurgical patients. She highlights the importance of addressing endocrine problems in patients with neurosurgical conditions and focuses specifically on anterior and posterior pituitary abnormalities. Dr. Donegan discusses various causes and prevalence rates of hypopituitarism in traumatic brain injury, subarachnoid hemorrhage, radiotherapy, and surgery patients. She emphasizes the significance of cortisol deficiency in the acute setting and the need for cortisol replacement in these cases. Dr. Donegan also explains the criteria for diagnosing diabetes insipidus and syndrome of inappropriate antidiuretic hormone secretion (SIADH) and discusses their management approaches. Additionally, she mentions the possibility of transient hypopituitarism and suggests timing and methods for assessing and treating endocrine-related issues in neurosurgical patients.

Asset Caption

Diane M. Donegan, MD, MSC

Keywords

endocrinology

neurosurgical patients

hypopituitarism

cortisol deficiency

diabetes insipidus

syndrome of inappropriate antidiuretic hormone secretion