Acute onset of central diabetes insipidus during adolescent idiopathic scoliosis surgery
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CASE REPORT
Acute onset of central diabetes insipidus during adolescent idiopathic scoliosis surgery Doris M. Hardacker1 · Karen S. Myung1 · Kyle D. Hardacker2 · Erin R. Dammann1 Received: 21 February 2020 / Accepted: 1 August 2020 © Scoliosis Research Society 2020
Abstract This is a case report of a 12-year-old female with idiopathic scoliosis undergoing posterior scoliosis reconstruction that developed an acute onset of central diabetes insipidus (CDI) during surgery. The diagnosis was made as a result of an intraoperative increase in urine output to 6.82 ml/kg/hour (550 ml), a serum sodium increase from 139 to 147 mmol/L, a serum osmolality of 299 mOsmol/kg, a rapid response to vasopressin administration and a low vasopressin level of 295–300 mOsmol/kg), and decreased urine osmolality (
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