ABSTRACT
The present study was undertaken to find the incidence of various sodium [Na] anomalies their management and outcome in the neuro surgical intensive care unit [NICU]of Khoula hospital. A total of 50 patients were followed up for serum Na of 50 patients were grouped as syndrome of inappropriate ADH secretion [SIADH] cerebral salt wasting [CSW] and diabetes inspidus [DI], according to strict diagnostic criteria. Twenty seven patients [54%] had Na anomalies. Of the 14 hyponatremic patients, 7 were CSW, 3 were SIADH and 4 were SIADH who later become CSW. Of the 13 hypernatremic patients, 2 were dehydration, 3 were DI and in 8 cases, who died, hypermatremia was seen as a terminal event. In view of the high incidence of Na imbalance in neuro patients, strict diagnostic criteria and treatment flow charts need to be followed
Subject(s)
Humans , Male , Female , Neurosurgery , Craniocerebral Trauma , Sodium/blood , Hyponatremia/pathologySubject(s)
Humans , Male , Female , Infant, Newborn , Child , Electrolytes , Hypernatremia/pathology , Hypernatremia/therapy , Hyponatremia/classification , Hyponatremia/pathology , Hyponatremia/therapy , Potassium , Sodium , VasopressinsABSTRACT
El Síndrome Hiponatrémico-Natriurético constituye una complicación de difícil manejo en el paciente con enfermedad intracraneana y compromiso de estructuras diencefálicas. Se presenta el caso de un paciente de 25 años de edad quien presentó una contusión cerebral hemorrágica a consecuencia de un accidente de tránsito; y quien 17 días después del traumatismo, desarrolló un cuadro de natriuresis hiponatrémica que se corrigió en forma satisfactoria a los 29 días de su ingreso. Se discute la importancia del diagnóstico de pérdida cerebral de sodio, y su relación con la Hormona Antidiurética, el Péptido Natriurético Atrial y el Síndrome de Secreción inapropiada de la Hormona Antidiurética