[Cerebral salt wasting syndrome in a patient with posttraumatic brain injury].

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  • Author(s): Krysiak R;Krysiak R; Okopień B
  • Source:
    Wiadomosci lekarskie (Warsaw, Poland : 1960) [Wiad Lek] 2012; Vol. 65 (4), pp. 247-50.
  • Publication Type:
    Case Reports; English Abstract; Journal Article
  • Language:
    Polish
  • Additional Information
    • Transliterated Title:
      Mózgowy zespół utraty soil u pacjenta po urazie głowy.
    • Source:
      Publisher: Aluna Publishing Country of Publication: Poland NLM ID: 9705467 Publication Model: Print Cited Medium: Print ISSN: 0043-5147 (Print) Linking ISSN: 00435147 NLM ISO Abbreviation: Wiad Lek Subsets: MEDLINE
    • Publication Information:
      Publication: Konstancin Jeziorna : Aluna Publishing
      Original Publication: Warszawa : Pánstwowy Zakład Wydawnictw Lekarskich, [1960-
    • Subject Terms:
      Brain Injuries/*complications ; Hyponatremia/*etiology ; Inappropriate ADH Syndrome/*etiology ; Stress Disorders, Post-Traumatic/*complications ; Wasting Syndrome/*etiology; Diagnosis, Differential ; Humans ; Hyponatremia/diagnosis ; Inappropriate ADH Syndrome/diagnosis ; Male ; Wasting Syndrome/diagnosis ; Young Adult
    • Abstract:
      In patients with central nervous system disease, life-threatening hyponatremia can result from either the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) or cerebral salt wasting syndrome (CSWS). Both clinical entities share many similar laboratory and clinical findings, and are characterized by low serum osmolality, inappropriately high urine osmolality, and high urine sodium levels. Despite outward similarities, the pathophysiology and treatment of these two conditions are very different. The former is treated with fluid restriction because of the increased level of free water and its dilutional effect causing hyponatremia, whereas the latter is treated with fluid and sodium resuscitation because of the increased loss of high urinary sodium. We present a 24-year-old man who developed CSWS after traumatic brain injury, showing diagnostic and treatment strategies undertaken in this patient and their impact on the course of CSWS. This case report illustrates the need for clinical awareness of CSWS in patients after head trauma.
    • Publication Date:
      Date Created: 20130510 Date Completed: 20130606 Latest Revision: 20130509
    • Publication Date:
      20231215
    • Accession Number:
      23654147