Cerebral salt wasting after traumatic brain injury: a review of the literature

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Cerebral salt wasting after traumatic brain injury: a review of the literature

Electrolyte imbalances are common among patients with traumatic brain injury (TBI). Cerebral salt wasting (CSW) is an electrolyte imbalance characterized by hyponatremia and hypovolemia. Differentiating the syndrome of inappropriate antidiuretic hormone and CSW remains difficult and the pathophysiological mechanisms underlying CSW are unclear. Our intent was to review the literature on CSW with...

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Cerebral salt wasting following traumatic brain injury

SUMMARY Hyponatraemia is the most commonly encountered electrolyte disturbance in neurological high dependency and intensive care units. Cerebral salt wasting (CSW) is the most elusive and challenging of the causes of hyponatraemia, and it is vital to distinguish it from the more familiar syndrome of inappropriate antidiuretic hormone (SIADH). Managing CSW requires correction of the intravascul...

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Cerebral salt wasting and elevated brain natriuretic peptide levels after traumatic brain injury: 2 case reports.

BACKGROUND Historically, hyponatremia in patients with varying brain diseases was termed cerebral salt wasting. Hyponatremia secondary to CSW was reported to be a distinct entity from SIADH, with the distinguishing feature of decreased extracellular fluid volume. Brain natriuretic peptide, a peptide with natriuretic, vasorelaxant, and aldosterone-inhibiting properties, was recently implicated i...

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Concurrence of Inappropriate Antidiuretic Hormone Secretion and Cerebral Salt Wasting Syndromes after Traumatic Brain Injury

Syndrome of inappropriate antidiuretic hormone (SIADH) and cerebral salt wasting syndrome (CSWS) as the two most common neuroendocrine diseases, have been recognized and understood by many neurologists. Although SIADH and CSWS are the common causes of central hyponatremia after traumatic brain injury (TBI), a few cases are mixed, with the coexistence of the two pathological pathomechanism. Howe...

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Cerebral salt wasting after traumatic brain injury: an important critical care treatment issue.

Traumatic brain injury is an important public health issue that requires the expertise of informed neurosurgeons, neurointensivists, and other critical care practitioners. The treatment of patients with traumatic brain injury (TBI) using established guidelines and less well-established novel treatment strategies, including invasive brain monitoring, has led to a silent albeit robust improvement...

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ژورنال

عنوان ژورنال: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

سال: 2015

ISSN: 1757-7241

DOI: 10.1186/s13049-015-0180-5