Acute Hyponatraemia Secondary to Cerebral Salt Wasting Syndrome in a Patient with Tuberculous Meningitis

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Acute hyponatraemia secondary to cerebral salt wasting syndrome in a patient with tuberculous meningitis.

A 30-year-old HIV-positive man presented with acute hydrocephalus secondary to tuberculous meningitis, for which an external ventricular drain was inserted. He developed marked natriuresis in the postoperative period, which resulted in acute hyponatraemia (131 to 122 mmol/l) and a contraction of his intravascular volume. A diagnosis of cerebral salt wasting syndrome was made, and he responded t...

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Cerebral salt wasting is characterized by inappropriate natriuresis and volume contraction in the presence of cerebral pathology. Diagnosis can be difficult and therapy is challenging. We report two children with tuberculous meningitis and hydrocephalus who developed cerebral salt wasting following neurosurgical intervention. The first patient was managed with rigorous salt and water replacemen...

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Cerebral salt wasting syndrome due to tuberculous meningitis; a case report

A 58-year-old male presented with fever, nausea, and vomiting since 15 days along with irritability and confusion since 5 days. His laboratory reports showed low serum sodium, serum osmolality and uric acid. Computerized tomography (CT) scan of brain revealed age-related changes. While on lumbar puncture (LP) and cerebrospinal fluid (CSF) examination, CSF protein, lactate dehydrogenase (LDH) an...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 1998

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x9802600413