A Case of Cerebral Salt Wasting Syndrome associated with Tuberculous Meningitis / 대한내분비학회지
Journal of Korean Society of Endocrinology
; : 698-704, 2002.
Article
в Ko
| WPRIM
| ID: wpr-89666
Ответственная библиотека:
WPRO
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
Key words
Полный текст:
1
База данных:
WPRIM
Основная тема:
Polyuria
/
Shock
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Tuberculosis, Meningeal
/
Fludrocortisone
/
Central Nervous System Diseases
/
Wasting Syndrome
/
Hypovolemia
/
Hyponatremia
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Inappropriate ADH Syndrome
/
Natriuresis
Пределы темы:
Adolescent
/
Humans
/
Male
Язык:
Ko
Журнал:
Journal of Korean Society of Endocrinology
Год:
2002
Тип:
Article