Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone.

Autor:	Bouchlarhem A; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Haddar L; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Berrichi H; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Jabri M; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Lachhab A; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., El Houda Lamassab N; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Bekkaoui S; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., El Mamoun IB; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Berramdane O; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco., Oulali N; Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2021 Nov 03; Vol. 17 (1), pp. 106-110. Date of Electronic Publication: 2021 Nov 03 (Print Publication: 2022).
DOI:	10.1016/j.radcr.2021.08.049
Abstrakt:	Our objective is to demonstrate the interest of thinking about Cerebral salt wasting syndrome (CSW) in front of hyponatremia with severe hypovolemia after a brain injury, and at the same time the interest to differentiate between Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Cerebral salt wasting syndrome (CSW) as two etiologies to be evoked in front of a hyponatremia with brain injury. Case report: We report the case of a 63-year-old patient with a recent history of hemorrhagic stroke admitted for severe hypovolemic shock in whom the investigations find a very deep hypotonic hyponatremia secondary to a cerebral salt wasting syndrome successfully treated with fludrocortisone. Discussion: CWS is characterized by hypotonic hyponatremia associated with cerebral associated with hypovolemia, the difficulty of the diagnosis is explained by the points of convergences with SIADH which is also presented with hyponatremia. The treatment is based on filling with saline, if the symptoms are severe, hypertonic saline has its place. Fludrocortisone has proven its effectiveness in the correction of refractory hyponatremia in CWS. Conclusion: It is essential to differentiate between hyponatremia in CWS and hyponatremia in SIADH because the medical care is categorically different. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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