Postoperative Morbidity

Most patients experience anterior and posterior pituitary endocrine deficits postoperatively, with less than 10% having normal endocrine function. Growth hormone deficiency is usually present, as is DI. Hyperphagia and obesity also occur and are attributed to hypothalamic damage. Choux cites the predictive factors in postoperative morbidity as: age less than 5 years, severe hydrocephalus, pre-operative hypothalamic disturbance, large tumors over 3.5 cm and intraoperative complications [19].

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