Novel treatment (new drug/intervention; established drug/procedure in new situation)
Cerebral salt wasting syndrome in a patient affected of spontaneous frontoparietal subdural haematoma
1 Hospital Universitario Arnau de Vilanova. IRBLLEIDA, 1. Endocrinology and Nutrition Service, Rovira Roure 80, Lleida, 25198, Spain
2 Hospital Universitario Arnau de Vilanova, Intensive Care, Rovira Roure 80, Lleida, 25198, Spain
3 Hospital Universitario Arnau de Vilanova, Endocrinology and Nutrition Service, Rovira Roure 80, Lleida, 25198, Spain
Correspondence to:
Mariaina Cerdá-Esteve, MCerda{at}imas.imim.es
Ever since cerebral salt wasting syndrome (CSW) was first described in 1950, there have been debates over its existence and whether it has an important place in the differential diagnosis of hyponatraemia. We report the case of a neurosurgical patient with sustained hyponatraemia and abnormally high sodium loss in the urine, with signs of fluid volume depletion. Hyponatraemia was not corrected after an intravenous infusion of saline solution. Stable concentrations of blood sodium above 130 mmol/l were achieved with the administration of 100 mg of hydrocortisone daily, with an ensuing reduction in sodium elimination through the urine.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full text of all Editor's Choice articles and summaries of every article are free without registration
The full text of Images in ... articles are free to registered users
Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource
Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog
