Cerebral salt wasting syndrome caused by external lumbar drainage in a patient with chronic hydrocephalus

In cases of hyponatremia induced by brain damage, it is important to distinguish between the syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and cerebral salt wasting syndrome. A ventriculoperitoneal (VP) shunt is the standard treatment for hydrocephalus, and external lumbar draina...

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Bibliographic Details
Published inAnnals of clinical neurophysiology Vol. 24; no. 1; pp. 30 - 34
Main Authors Yoo, Je Hyun, Park, Ki Deok, Lim, Oh Kyung, Lee, Ju Kang
Format Journal Article
LanguageKorean
Published 2022
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Summary:In cases of hyponatremia induced by brain damage, it is important to distinguish between the syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and cerebral salt wasting syndrome. A ventriculoperitoneal (VP) shunt is the standard treatment for hydrocephalus, and external lumbar drainage (ELD) is an option to evaluate the effect of a VP shunt. However, ELD has potential complications, such as subarachnoid hemorrhage, meningitis, and rarely hyponatremia. Therefore, we report a case of a patient with cerebral salt-wasting syndrome resulting from ELD to treat normal-pressure hydrocephalus during the rehabilitation of acute ischemic stroke.
Bibliography:KISTI1.1003/JNL.JAKO202215857773974
ISSN:2508-691X
2508-691X