Sequential cerebral salt wasting complicating SIADH in a patient following head trauma
نویسندگان
چکیده
منابع مشابه
Cerebral salt wasting versus SIADH: what difference?
The term cerebral salt wasting (CSW) was introduced before the syndrome of inappropriate antidiuretic hormone secretion was described in 1957. Subsequently, CSW virtually vanished, only to reappear a quarter century later in the neurosurgical literature. A valid diagnosis of CSW requires evidence of inappropriate urinary salt losses and reduced "effective arterial blood volume." With no gold st...
متن کاملCerebral 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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An 83-year-old man admitted for weakness, lethargy, and mental status changes was found to have human immunodeficiency virus (HIV) disease and cryptococcal meningitis. His hospital course was complicated by worsening hyponatremia (sodium < 136 mEq/L). By hospital day 6, the patient’s serum sodium had declined to 127 mEq/L from his admission level of 133 mEq/L. The initial impression was that th...
متن کاملCerebral 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...
متن کاملCerebral salt wasting syndrome following neurosurgical intervention in tuberculous meningitis.
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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ژورنال
عنوان ژورنال: Journal of Renal Injury Prevention
سال: 2018
ISSN: 2345-2781
DOI: 10.15171/jrip.2018.12