Refractory polyuria secondary to cerebral salt wasting successfully treated with DDAVP and hypertonic saline
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چکیده
منابع مشابه
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BACKGROUND AND OBJECTIVES The existence and prevalence of cerebral salt wasting (CSW) or the preferred term, renal salt wasting (RSW), and its differentiation from syndrome of inappropriate antidiuretic hormone (SIADH) have been controversial. This controversy stems from overlapping clinical and laboratory findings and an inability to assess the volume status of these patients. The authors repo...
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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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ALTHOUGH recent studies of patients with cerebral and pulmonary salt wasting have implicated "inappropriate"' anti-diuretic hormone secretion as the basic defect, the norinality of aldosterone responsiveness has not been firmly established.'-' This paper reports a patient with cerebral salt wasting and hyponatremia in whom bal anee studies suggested normal aldosterone response and inappropriate...
متن کاملCerebral 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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ژورنال
عنوان ژورنال: Interdisciplinary Neurosurgery
سال: 2020
ISSN: 2214-7519
DOI: 10.1016/j.inat.2020.100814