{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:54:59Z","timestamp":1765961699044,"version":"3.48.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pituitary"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s11102-025-01592-3","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:39:00Z","timestamp":1761665940000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of water and electrolyte disorders post-pituitary adenoma surgery: experience with Tolvaptan 7.5\u00a0mg at a tertiary care centre"],"prefix":"10.1007","volume":"28","author":[{"given":"Chethan","family":"Yamichannaiah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaushal VinayKumar","family":"Sheth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anurag Ranjan","family":"Lila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijaya","family":"Sarathi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virendra","family":"Patil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saba Samad","family":"Memon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Barnabas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manjiri","family":"Karlekar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Phadte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anima","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6902-4639","authenticated-orcid":false,"given":"Tushar","family":"Bandgar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"1592_CR1","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1046\/j.1365-2265.1999.00666.x","volume":"50","author":"J Hensen","year":"1999","unstructured":"Hensen J, Henig A, Fahlbusch R et al (1999) Prevalence, predictors and patterns of postoperative polyuria and hyponatraemia in the immediate course after transsphenoidal surgery for pituitary adenomas. Clin Endocrinol 50:431\u2013439. https:\/\/doi.org\/10.1046\/j.1365-2265.1999.00666.x","journal-title":"Clin Endocrinol"},{"key":"1592_CR2","doi-asserted-by":"publisher","first-page":"555","DOI":"10.3171\/2008.9.JNS08191","volume":"111","author":"RA Kristof","year":"2009","unstructured":"Kristof RA, Rother M, Neuloh G, Klingm\u00fcller D (2009) Incidence, clinical manifestations, and course of water and electrolyte metabolism disturbances following transsphenoidal pituitary adenoma surgery: a prospective observational study: clinical Article. JNS 111:555\u2013562. https:\/\/doi.org\/10.3171\/2008.9.JNS08191","journal-title":"JNS"},{"key":"1592_CR3","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s11102-006-9276-2","volume":"9","author":"JR Adams","year":"2006","unstructured":"Adams JR, Blevins LS, Allen GS et al (2006) Disorders of water metabolism following transsphenoidal pituitary surgery: A single institution\u2019s experience. Pituitary 9:93\u201399. https:\/\/doi.org\/10.1007\/s11102-006-9276-2","journal-title":"Pituitary"},{"key":"1592_CR4","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1530\/EJE-06-0659","volume":"156","author":"R Guerrero","year":"2007","unstructured":"Guerrero R, Pumar A, Soto A et al (2007) Early hyponatraemia after pituitary surgery: cerebral salt-wasting syndrome. Eur J Endocrinol 156:611\u2013616. https:\/\/doi.org\/10.1530\/EJE-06-0659","journal-title":"Eur J Endocrinol"},{"key":"1592_CR5","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1055\/s-0037-1604363","volume":"79","author":"A Ajlan","year":"2018","unstructured":"Ajlan A, Abdulqader S, Achrol A et al (2018) Diabetes insipidus following endoscopic transsphenoidal surgery for pituitary adenoma. J Neurol Surg B 79:117\u2013122. https:\/\/doi.org\/10.1055\/s-0037-1604363","journal-title":"J Neurol Surg B"},{"key":"1592_CR6","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.3390\/jcm3041199","volume":"3","author":"S Barber","year":"2014","unstructured":"Barber S, Liebelt B, Baskin D (2014) Incidence, etiology and outcomes of hyponatremia after transsphenoidal surgery: experience with 344 consecutive patients at a single tertiary center. JCM 3:1199\u20131219. https:\/\/doi.org\/10.3390\/jcm3041199","journal-title":"JCM"},{"key":"1592_CR7","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1007\/s11102-020-01083-7","volume":"24","author":"F De Vries","year":"2021","unstructured":"De Vries F, Lobatto DJ, Verstegen MJT et al (2021) Postoperative diabetes insipidus: how to define and grade this complication? Pituitary 24:284\u2013291. https:\/\/doi.org\/10.1007\/s11102-020-01083-7","journal-title":"Pituitary"},{"key":"1592_CR8","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1210\/clinem\/dgac622","volume":"108","author":"EK Brooks","year":"2022","unstructured":"Brooks EK, Inder WJ (2022) Disorders of salt and water balance after pituitary surgery. J Clin Endocrinol Metabolism 108:198\u2013208. https:\/\/doi.org\/10.1210\/clinem\/dgac622","journal-title":"J Clin Endocrinol Metabolism"},{"key":"1592_CR9","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1016\/j.amjmed.2013.07.006","volume":"126","author":"JG Verbalis","year":"2013","unstructured":"Verbalis JG, Goldsmith SR, Greenberg A et al (2013) Diagnosis, Evaluation, and treatment of hyponatremia: expert panel recommendations. Am J Med 126:S1\u2013S42. https:\/\/doi.org\/10.1016\/j.amjmed.2013.07.006","journal-title":"Am J Med"},{"key":"1592_CR10","unstructured":"Schrier RW, Berl T, Orlandi C (2006) Tolvaptan, a Selective Oral Vasopressin V2-Receptor Antagonist, for Hyponatremia. The New England Journal of Medicine"},{"key":"1592_CR11","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1530\/EJE-10-1078","volume":"164","author":"JG Verbalis","year":"2011","unstructured":"Verbalis JG, Adler S, Schrier RW et al (2011) Efficacy and safety of oral Tolvaptan therapy in patients with the syndrome of inappropriate antidiuretic hormone secretion. Eur J Endocrinol 164:725\u2013732. https:\/\/doi.org\/10.1530\/EJE-10-1078","journal-title":"Eur J Endocrinol"},{"key":"1592_CR12","doi-asserted-by":"publisher","first-page":"e279","DOI":"10.1055\/s-0035-1564605","volume":"76","author":"S Ichimura","year":"2015","unstructured":"Ichimura S, Fahlbusch R, L\u00fcdemann W (2015) Treatment of hyponatremia with Tolvaptan in a patient after neurosurgical treatment of a pituitary tumor: case report and review of literature. J Neurol Surg Rep 76:e279\u2013e281. https:\/\/doi.org\/10.1055\/s-0035-1564605","journal-title":"J Neurol Surg Rep"},{"key":"1592_CR13","doi-asserted-by":"publisher","first-page":"202","DOI":"10.4274\/jcrpe.galenos.2018.2018.0182","volume":"11","author":"F G\u00fcrb\u00fcz","year":"2019","unstructured":"G\u00fcrb\u00fcz F, Ta\u015ftan M, Turan \u0130, Y\u00fcksel B (2019) Efficiency of single dose of Tolvaptan treatment during the triphasic episode after surgery for craniopharyngioma. Jcrpe 11:202\u2013206. https:\/\/doi.org\/10.4274\/jcrpe.galenos.2018.2018.0182","journal-title":"Jcrpe"},{"key":"1592_CR14","doi-asserted-by":"publisher","first-page":"689887","DOI":"10.3389\/fendo.2021.689887","volume":"12","author":"R Indirli","year":"2021","unstructured":"Indirli R, Ferreira De Carvalho J, Cremaschi A et al (2021) Tolvaptan in the management of acute euvolemic hyponatremia after transsphenoidal surgery: A retrospective Single-Center analysis. Front Endocrinol 12:689887. https:\/\/doi.org\/10.3389\/fendo.2021.689887","journal-title":"Front Endocrinol"},{"key":"1592_CR15","doi-asserted-by":"publisher","first-page":"e10966","DOI":"10.1016\/j.heliyon.2022.e10966","volume":"8","author":"M Tosaka","year":"2022","unstructured":"Tosaka M, Yamaguchi R, Itabashi Y et al (2022) Effect of vasopressin V2-receptor antagonist Tolvaptan on syndrome of inappropriate antidiuresis (SIAD) after transsphenoidal pituitary surgery: recovery of measured osmolality. Heliyon 8:e10966. https:\/\/doi.org\/10.1016\/j.heliyon.2022.e10966","journal-title":"Heliyon"},{"key":"1592_CR16","doi-asserted-by":"publisher","first-page":"bvaa068","DOI":"10.1210\/jendso\/bvaa068","volume":"4","author":"A Kleindienst","year":"2020","unstructured":"Kleindienst A, Georgiev S, Schlaffer SM, Buchfelder M (2020) Tolvaptan versus fluid restriction in the treatment of hyponatremia resulting from SIADH following pituitary surgery. J Endocr Soc 4:bvaa068. https:\/\/doi.org\/10.1210\/jendso\/bvaa068","journal-title":"J Endocr Soc"},{"key":"1592_CR17","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1530\/EC-17-0175","volume":"6","author":"P Bansal","year":"2017","unstructured":"Bansal P, Lila A, Goroshi M et al (2017) Duration of post-operative hypocortisolism predicts sustained remission after pituitary surgery for cushing\u2019s disease. Endocr Connections 6:625\u2013636. https:\/\/doi.org\/10.1530\/EC-17-0175","journal-title":"Endocr Connections"},{"key":"1592_CR18","doi-asserted-by":"publisher","first-page":"G8","DOI":"10.1530\/EC-18-0154","volume":"7","author":"SE Baldeweg","year":"2018","unstructured":"Baldeweg SE, Ball S, Brooke A et al (2018) SOCIETY FOR ENDOCRINOLOGY CLINICAL GUIDANCE: inpatient management of cranial diabetes insipidus. Endocr Connections 7:G8\u2013G11. https:\/\/doi.org\/10.1530\/EC-18-0154","journal-title":"Endocr Connections"},{"key":"1592_CR19","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.beem.2015.12.001","volume":"30","author":"SG Ball","year":"2016","unstructured":"Ball SG, Iqbal Z (2016) Diagnosis and treatment of hyponatraemia. Best Pract Res Clin Endocrinol Metab 30:161\u2013173. https:\/\/doi.org\/10.1016\/j.beem.2015.12.001","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"1592_CR20","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1055\/a-2074-9329","volume":"55","author":"R Rajan","year":"2023","unstructured":"Rajan R, Chacko AG, Verma S et al (2023) Predictors of delayed hyponatraemia after surgery for pituitary tumour. Horm Metab Res 55:395\u2013401. https:\/\/doi.org\/10.1055\/a-2074-9329","journal-title":"Horm Metab Res"},{"key":"1592_CR21","doi-asserted-by":"publisher","first-page":"G1","DOI":"10.1530\/EJE-13-1020","volume":"170","author":"G Spasovski","year":"2014","unstructured":"Spasovski G, Vanholder R, Allolio B et al (2014) Clinical practice guideline on diagnosis and treatment of hyponatraemia. Eur J Endocrinol 170:G1\u201347. https:\/\/doi.org\/10.1530\/EJE-13-1020","journal-title":"Eur J Endocrinol"},{"key":"1592_CR22","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.nec.2009.10.011","volume":"21","author":"AH Yee","year":"2010","unstructured":"Yee AH, Burns JD, Wijdicks EFM (2010) Cerebral salt wasting: Pathophysiology, Diagnosis, and treatment. Neurosurg Clin North Am 21:339\u2013352. https:\/\/doi.org\/10.1016\/j.nec.2009.10.011","journal-title":"Neurosurg Clin North Am"},{"key":"1592_CR23","doi-asserted-by":"publisher","first-page":"448","DOI":"10.3171\/jns.2005.103.3.0448","volume":"103","author":"EC Nemergut","year":"2005","unstructured":"Nemergut EC, Zuo Z, Jane JA, Laws ER (2005) Predictors of diabetes insipidus after transsphenoidal surgery: a review of 881 patients. J Neurosurg 103:448\u2013454. https:\/\/doi.org\/10.3171\/jns.2005.103.3.0448","journal-title":"J Neurosurg"},{"key":"1592_CR24","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1177\/2042018816687240","volume":"8","author":"A Prete","year":"2017","unstructured":"Prete A, Corsello SM, Salvatori R (2017) Current best practice in the management of patients after pituitary surgery. Ther Adv Endocrinol Metab 8:33\u201348. https:\/\/doi.org\/10.1177\/2042018816687240","journal-title":"Ther Adv Endocrinol Metab"},{"key":"1592_CR25","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1210\/er.2013-1048","volume":"36","author":"R Pivonello","year":"2015","unstructured":"Pivonello R, De Leo M, Cozzolino A, Colao A (2015) The treatment of cushing\u2019s disease. Endocr Rev 36:385\u2013486. https:\/\/doi.org\/10.1210\/er.2013-1048","journal-title":"Endocr Rev"},{"key":"1592_CR26","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1097\/00006123-199702000-00001","volume":"40","author":"I Ciric","year":"1997","unstructured":"Ciric I, Ragin A, Baumgartner C, Pierce D (1997) Complications of transsphenoidal surgery: results of a National survey, review of the literature, and personal experience. Neurosurgery 40:225\u2013236 discussion 236\u2013237. https:\/\/doi.org\/10.1097\/00006123-199702000-00001","journal-title":"Neurosurgery"},{"key":"1592_CR27","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1177\/0885066605275247","volume":"20","author":"AS Dumont","year":"2005","unstructured":"Dumont AS, Nemergut EC, Jane JA, Laws ER (2005) Postoperative care following pituitary surgery. J Intensive Care Med 20:127\u2013140. https:\/\/doi.org\/10.1177\/0885066605275247","journal-title":"J Intensive Care Med"},{"key":"1592_CR28","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1227\/01.NEU.0000311063.10745.D8","volume":"62","author":"DG Sigounas","year":"2008","unstructured":"Sigounas DG, Sharpless JL, Cheng DML et al (2008) Predictors and incidence of central diabetes insipidus after endoscopic pituitary surgery. Neurosurgery 62:71\u201378 discussion 78\u201379. https:\/\/doi.org\/10.1227\/01.NEU.0000311063.10745.D8","journal-title":"Neurosurgery"},{"key":"1592_CR29","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1159\/000503145","volume":"110","author":"AM Berton","year":"2020","unstructured":"Berton AM, Gatti F, Penner F et al (2020) Early copeptin determination allows prompt diagnosis of Post-Neurosurgical central diabetes insipidus. Neuroendocrinology 110:525\u2013534. https:\/\/doi.org\/10.1159\/000503145","journal-title":"Neuroendocrinology"},{"key":"1592_CR30","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1007\/s11102-008-0086-6","volume":"11","author":"JC Ausiello","year":"2008","unstructured":"Ausiello JC, Bruce JN, Freda PU (2008) Postoperative assessment of the patient after transsphenoidal pituitary surgery. Pituitary 11:391\u2013401. https:\/\/doi.org\/10.1007\/s11102-008-0086-6","journal-title":"Pituitary"},{"key":"1592_CR31","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1111\/j.0954-6820.1972.tb04772.x","volume":"192","author":"K-E Andersson","year":"1972","unstructured":"Andersson K-E, Arner B, A SYNTHETIC ANALOGUE OF VASOPRESSIN, IN PATIENTS WITH CRANIAL DIABETES INSIPIDUS (1972) J Intern Med 192:21\u201327. https:\/\/doi.org\/10.1111\/j.0954-6820.1972.tb04772.x","journal-title":"J Intern Med"},{"key":"1592_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.wneu.2016.01.022","volume":"88","author":"DJ Cote","year":"2016","unstructured":"Cote DJ, Alzarea A, Acosta MA et al (2016) Predictors and rates of delayed symptomatic hyponatremia after transsphenoidal surgery: A systemastic review. World Neurosurg 88:1\u20136. https:\/\/doi.org\/10.1016\/j.wneu.2016.01.022","journal-title":"World Neurosurg"},{"key":"1592_CR33","doi-asserted-by":"publisher","unstructured":"Klaassen D, Mok S, Hwang JY et al (2025) Postoperative fluid restriction to prevent delayed hyponatremia after endoscopic transsphenoidal surgery. https:\/\/doi.org\/10.1093\/neuonc\/noaf069. Neuro-Oncology noaf069","DOI":"10.1093\/neuonc\/noaf069"},{"key":"1592_CR34","doi-asserted-by":"publisher","unstructured":"MacMillan TE, Shin S, Topf J et al (2023) Osmotic demyelination syndrome in patients hospitalized with hyponatremia. https:\/\/doi.org\/10.1056\/EVIDoa2200215. NEJM Evidence 2:","DOI":"10.1056\/EVIDoa2200215"},{"key":"1592_CR35","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.ecl.2007.10.008","volume":"37","author":"JA Loh","year":"2008","unstructured":"Loh JA, Verbalis JG (2008) Disorders of water and salt metabolism associated with pituitary disease. Endocrinol Metab Clin North Am 37:213\u2013234. https:\/\/doi.org\/10.1016\/j.ecl.2007.10.008","journal-title":"Endocrinol Metab Clin North Am"},{"key":"1592_CR36","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.ejim.2007.06.019","volume":"19","author":"M Cerd\u00e0-Esteve","year":"2008","unstructured":"Cerd\u00e0-Esteve M, Cuadrado-Godia E, Chillaron JJ et al (2008) Cerebral salt wasting syndrome: review. Eur J Intern Med 19:249\u2013254. https:\/\/doi.org\/10.1016\/j.ejim.2007.06.019","journal-title":"Eur J Intern Med"}],"container-title":["Pituitary"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11102-025-01592-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11102-025-01592-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11102-025-01592-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:47:04Z","timestamp":1765961224000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11102-025-01592-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["1592"],"URL":"https:\/\/doi.org\/10.1007\/s11102-025-01592-3","relation":{},"ISSN":["1386-341X","1573-7403"],"issn-type":[{"type":"print","value":"1386-341X"},{"type":"electronic","value":"1573-7403"}],"subject":[],"published":{"date-parts":[[2025,10,28]]},"assertion":[{"value":"25 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"121"}}