Perioperative Fluid Management in Central Arginine Vasopressin Deficiency

Authors

Jack Dryden, Oakland University William Beaumont School of Medicine Medical Student
Victoria Schomer, Corewell Health East Resident
Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-12-2025

Abstract

We present a 66-year-old male with a medical history of craniopharyngioma who presented to the hospital s/p transphenoidal resection of cholesterol granuloma 2 weeks prior with altered mental status, hypernatremia, decreased urine osmolality, polyuria, and bradycardia. After being stabilized in the ED, he was diagnosed with central arginine vasopressin deficiency. Several days later, a CT head showed interventricular air due to leakage from his external ventricular drain, requiring surgery to repair the CSF leak. In this case, we will discuss the pathophysiology of central arginine vasopressin deficiency as well as the perioperative management of these patients, including fluid management and desmopressin.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Dryden J, Schomer V, Soto R. Perioperative fluid management in central arginine vasopressin deficiency. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2025 Oct 12; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/9877