Cerebral Salt Wasting in a Child with Cervicothoracic Hematoma
| Autor: | İlknur Bostanci, Enver Simsek, Ugur Yasitli, Yıldız Dallar, Dilek Dilli, Nevin Ozlem |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Endocrinology
Diabetes and Metabolism medicine.medical_treatment Central nervous system Thoracic Vertebrae Excretion Endocrinology Hematoma Head Injuries Closed Humans Medicine In patient Saline business.industry Accidents Traffic Infant nutritional and metabolic diseases Extracellular Fluid medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Anesthesia Pediatrics Perinatology and Child Health Syndrome of inappropriate antidiuretic hormone secretion Cervical Vertebrae Female Tomography X-Ray Computed Salt-wasting business Hyponatremia |
| Zdroj: | Journal of Pediatric Endocrinology and Metabolism. 21 |
| ISSN: | 2191-0251 0334-018X |
| Popis: | Although the syndrome of inappropriate antidiuretic hormone secretion (SIADH) is commonly observed in patients with acute or chronic central nervous system (CNS) disorders, cerebral salt wasting (CSW) that results in hyponatremia has rarely been reported in children. Both SIADH and CSW result in increased urinary sodium excretion and hyponatremia. However, the management protocols for these two conditions are quite different; volume restriction is used in treating SIADH, while volume expansion is necessary for the treatment of CSW. We present a case of CSW in a child with cervicothoracic hematoma secondary to head and cervicothoracic trauma, without evidence of brain edema. The child was diagnosed on the basis of high urinary sodium excretion resulting in hyponatremia and low serum osmolarity. Improvements in serum sodium levels after saline hydration confirmed this diagnosis. We believe that potentially dangerous cases of hyponatremia should be carefully evaluated in children with cervicothoracic hematoma secondary to trauma, including situations in which brain edema is absent. |
| Databáze: | OpenAIRE |
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