A case of cerebral salt wasting syndrome caused by minor head injury

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Cerebral Salt-Wasting Syndrome Caused by Minor Head Injury

A 34-year-old woman was admitted to hospital after sustaining a head injury in a motor vehicle accident (day 1). No signs of neurological deficit, skull fracture, brain contusion, or intracranial bleeding were evident. She was discharged without symptoms on day 4. However, headache and nausea worsened on day 8, at which time serum sodium level was noted to be 121 mEq/L. Treatment with sodium ch...

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Cerebral salt wasting syndrome: a case report.

A case of hyponatraemia associated with subarachnoid haemorrhage is presented. The provisional diagnosis of an inappropriate antidiuresis was made and treatment with fluid restriction was instituted. However the patient continued to deteriorate as the diuresis continued and the hyponatraemia worsened, resulting in hypovolaema. The salt wasting syndrome was subsequently diagnosed and saline and ...

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Cerebral salt wasting syndrome: review.

Hyponatremia is the most frequent electrolyte disorder in critically neurological patients. Cerebral salt wasting syndrome (CSW) is defined as a renal loss of sodium during intracranial disease leading to hyponatremia and a decrease in extracellular fluid volume. The pathogenesis of this disorder is still not completely understood. Sympathetic responses as well as some natriuretic factors play ...

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Cerebral Salt Wasting Syndrome following Head Injury in a Child Managed Successfully with Fludrocortisone

Cerebral salt wasting (CSW) syndrome is an important cause of hyponatremia in head injuries apart from syndrome of inappropriate antidiuretic hormone (SIADH). Proper diagnosis and differentiation between these two entities are necessary for management as the treatment is quite opposite in both conditions. Fludrocortisone can help in managing CSW where alone saline infusion does not work. We rep...

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Cerebral salt wasting syndrome in meningoencephalitis: a case report.

Acute hyponatraemia is a common finding in patients with intracranial pathology. The diagnosis of the syndrome of inappropriate antidiuretic hormone (SIADH) is often made, but it is important to distinguish this from cerebral salt wasting syndrome, which responds to very different management. Cerebral salt wasting is well documented in neurosurgical patients and in patients with space occupying...

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ژورنال

عنوان ژورنال: Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics

سال: 2019

ISSN: 0300-9173

DOI: 10.3143/geriatrics.56.67