{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:07:39Z","timestamp":1784887659547,"version":"3.55.0"},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Postoperative diabetes insipidus (DI) is rare, involving the hypothalamic\u2013pituitary axis following cervical spine surgery.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 51-year-old male underwent an elective C3\u2013C6 decompressive laminectomy for cervical spinal canal stenosis. Three hours postoperatively, he developed abrupt massive polyuria (1300\u20131800 mL\/h) with polydipsia (specific gravity 1.002), consistent with DI. Treatment with fluid replacement, desmopressin, and vasopressin resulted in clinical improvement. The brain MR revealed a normal pituitary gland and stalk, whereas histology from the laminectomy indicated potential multiple myeloma. At 5-week follow-up, his neurological symptoms resolved, but he continued to require desmopressin for persistent polyuria.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n DI is a rare but important complication of a cervical decompressive laminectomy. Early recognition and prompt treatment are essential to prevent significant fluid and electrolyte disturbances.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_638_2026","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:42:19Z","timestamp":1784886139000},"page":"424","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case of postoperative diabetes insipidus following cervical decompressive laminectomies"],"prefix":"10.25259","volume":"17","author":[{"given":"Cecilia Kehinde","family":"Okunlola","sequence":"first","affiliation":[{"name":"Department of Medicine, Federal Teaching Hospital, Ido Ekiti, Nigeria"},{"name":"Department of Medicine, Afe Babalola University, Ado Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret Olufemi","family":"Ibikunle","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Sciences, Lagos State University, Ido Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abiodun Idowu","family":"Okunlola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Federal Teaching Hospital, Ido Ekiti, Nigeria"},{"name":"Department of Surgery, Afe Babalola University, Ado Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tesleem Olayinka","family":"Orewole","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Federal Teaching Hospital, Ido Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnson Dare","family":"Ogunlusi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ekiti State University, Ado Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olakunle Francis","family":"Faniran","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal Teaching Hospital, Ido Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Segun Alex","family":"Atolani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal Teaching Hospital, Ido Ekiti, Nigeria"},{"name":"Department of Medicine, Afe Babalola University, Ado Ekiti, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"10.25259\/SNI_638_2026\/ref-1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1038\/s41572-019-0103-2","article-title":"Diabetes insipidus","volume":"5","author":"Christ-Crain","year":"2019","journal-title":"Nat Rev Dis Primers"},{"key":"10.25259\/SNI_638_2026\/ref-2","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1046\/j.1365-2265.1999.00666.x","article-title":"Prevalence, predictors and patterns of postoperative polyuria and hyponatraemia in the immediate course after transsphenoidal surgery for pituitary adenomas","volume":"50","author":"Hensen","year":"1999","journal-title":"Clin Endocrinol (Oxf)"},{"key":"10.25259\/SNI_638_2026\/ref-3","first-page":"1","article-title":"Neuroendocrine dysfunction following traumatic brain injury and spinal surgery","volume":"117","author":"Kleindienst","year":"2009","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"10.25259\/SNI_638_2026\/ref-4","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.beem.2016.02.007","article-title":"Diabetes insipidus: Differential diagnosis and management","volume":"30","author":"Robertson","year":"2016","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"10.25259\/SNI_638_2026\/ref-5","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1136\/bmj.298.6665.2","article-title":"Postoperative diabetes insipidus","volume":"298","author":"Seckl","year":"1989","journal-title":"BMJ"},{"key":"10.25259\/SNI_638_2026\/ref-6","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.nec.2009.10.011","article-title":"Cerebral salt wasting: Pathophysiology, diagnosis, and treatment","volume":"21","author":"Yee","year":"2010","journal-title":"Neurosurg Clin N Am"}],"container-title":["Surgical Neurology 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