Cerebral Salt-Wasting Syndrome Caused by Minor Head Injury

Autor: Toshiki Fukuoka, Yuko Tsurumi, Arihito Tsurumi
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Case Reports in Emergency Medicine, Vol 2017 (2017)
Druh dokumentu: article
ISSN: 2090-648X
2090-6498
DOI: 10.1155/2017/8692017
Popis: A 34-year-old woman was admitted to hospital after sustaining a head injury in a motor vehicle accident (day 1). No signs of neurological deficit, skull fracture, brain contusion, or intracranial bleeding were evident. She was discharged without symptoms on day 4. However, headache and nausea worsened on day 8, at which time serum sodium level was noted to be 121 mEq/L. Treatment with sodium chloride was initiated, but serum sodium decreased to 116 mEq/L on day 9. Body weight decreased in proportion to the decrease in serum sodium. Cerebral salt-wasting syndrome was diagnosed. This case represents the first illustration of severe hyponatremia related to cerebral salt-wasting syndrome caused by a minor head injury.
Databáze: Directory of Open Access Journals