A Case of Cerebral Salt Wasting Syndrome Associated with Tuberculous Meningitis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 306-310, 2005.
Article
Dans Coréen
| WPRIM
| ID: wpr-25282
ABSTRACT
Hyponatremia which is due to excessive sodium loss in the urine and decrease in extracellular fluid volume following an acute or chronic central nervous system injury, has been conjunctively described as cerebral salt wasting syndrome (CSWS). This syndrome is often confused with dilutional hyponatremia due to inappropriate secretion of antidiuretic hormone. Accurate diagnosis and management are mandatory for improvement of the course of the disease. This report describes a case of a 31-year-old male patient with CSWS associated with tuberculous meningitis. The patient exhibited hyponatremia, polyuria, excessive natriuresis, volume depletion, and hypotension. He was diagnosed to manifest CSWS and was treated by administration of fluids, salt, and fludrocortisone. After the respective treatments, symptoms of polyuria and hypotension were gradually resolved and hyponatremia was corrected.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Polyurie
/
Sodium
/
Méningite tuberculeuse
/
Fludrocortisone
/
Système nerveux central
/
Syndrome cachectique
/
Liquide extracellulaire
/
Diagnostic
/
Hyponatrémie
/
Hypotension artérielle
Type d'étude:
Etude diagnostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Tuberculosis and Respiratory Diseases
Année:
2005
Type:
Article
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