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Titolo:
Fludrocortisone treatment in a child with severe cerebral salt wasting
Autore:
Kinik, ST; Kandemir, N; Baykan, A; Akalan, N; Yordam, N;
Indirizzi:
Hacettepe Univ, Ihsan Dogramaci Childrens Hosp, Fac Med, Pediat EndocrinolUnit, TR-06100 Ankara, Turkey Hacettepe Univ Ankara Turkey TR-06100 rinolUnit, TR-06100 Ankara, Turkey Hacettepe Univ, Ihsan Dogramaci Childrens Hosp, Fac Med, Dept Pediat, TR-06100 Ankara, Turkey Hacettepe Univ Ankara Turkey TR-06100 pt Pediat, TR-06100 Ankara, Turkey Hacettepe Univ, Ihsan Dogramaci Childrens Hosp, Fac Med, Dept Neurosurg, TR-06100 Ankara, Turkey Hacettepe Univ Ankara Turkey TR-06100 Neurosurg, TR-06100 Ankara, Turkey
Titolo Testata:
PEDIATRIC NEUROSURGERY
fascicolo: 4, volume: 35, anno: 2001,
pagine: 216 - 219
SICI:
1016-2291(200110)35:4<216:FTIACW>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEUROSURGICAL PATIENTS; HYPONATREMIA; MANAGEMENT; NATRIURESIS; NEED;
Keywords:
hyponatremia; cerebral salt wasting; mineralocorticoid therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Kinik, ST Hacettepe Univ, Fac Med, Pediat Endocrinol Unit, TR-06100 Ankara, Turkey Hacettepe Univ Ankara Turkey TR-06100 TR-06100 Ankara, Turkey
Citazione:
S.T. Kinik et al., "Fludrocortisone treatment in a child with severe cerebral salt wasting", PED NEUROS, 35(4), 2001, pp. 216-219

Abstract

Hyponatremia is a common complication of intracranial disease or surgery. An evaluation should be undertaken to determine whether cerebral salt wasting (CSW) or inappropriate secretion of antidiuretic hormone is present as acause. Since the treatment principles are completely different in the two pathological states, differential diagnosis is very important. CSW is defined as the renal loss of sodium leading to hyponatremia and decreased extracellular fluid volume. In the literature, it has been noted that mineralocorticoid administration can be useful in CSW cases. We herein present an 11-year-old boy who developed hyponatremic seizures after intracranial tumor resection. He was diagnosed with CSW on the basis of high urinary sodium excretion and increased urine output, together with signs and symptoms of dehydration. Despite intensive fluid and salt therapy, we were unable to decrease the urinary output. Therefore, fludrocortisone therapy was administered and his urinary output and sodium excretion were decreased and his serum sodium level was normalized. In conclusion, in addition to fluid and salt replacement, mineralocorticoid supplementation also seems to be a safe and effective treatment for CSW. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 08:59:40