A Case of Cerebral Salt Wasting Syndrome associated with Tuberculous Meningitis / 대한내분비학회지
Journal of Korean Society of Endocrinology
;
: 698-704, 2002.
Artículo
en Coreano
| WPRIM
| ID: wpr-89666
ABSTRACT
Hyponatremia in patients with central nervous system disorders is suggestive of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), and volume restriction is recommended for its correction. However, if volume depletion is present in a situation otherwise compatible with SIADH, cerebral salt wasting syndrome (CSWS) should be considered as the cause of the hyponatremia to avoid hypovolemic shock that may be induced by the standard management of SIADH, i.e. volume restriction. We present a case of a 17-year-old male patient with CSWS associated with tuberculous meningitis. The clinical feature of the patient comprised hyponatremia, excessive natriuresis, polyuria, and hypovolemia. Following the administration of saline and fludrocortisone, natriuresis and polyuria were decreased, and the hyponatremia improved
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Poliuria
/
Choque
/
Tuberculosis Meníngea
/
Fludrocortisona
/
Enfermedades del Sistema Nervioso Central
/
Síndrome Debilitante
/
Hipovolemia
/
Hiponatremia
/
Síndrome de Secreción Inadecuada de ADH
/
Natriuresis
Límite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Korean Society of Endocrinology
Año:
2002
Tipo del documento:
Artículo
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