Acute hyponatraemia secondary to cerebral salt wasting syndrome in a patient with tuberculous meningitis.
Anaesth Intensive Care
; 26(4): 420-3, 1998 Aug.
Article
en En
| MEDLINE
| ID: mdl-9743858
A 30-year-old HIV-positive man presented with acute hydrocephalus secondary to tuberculous meningitis, for which an external ventricular drain was inserted. He developed marked natriuresis in the postoperative period, which resulted in acute hyponatraemia (131 to 122 mmol/l) and a contraction of his intravascular volume. A diagnosis of cerebral salt wasting syndrome was made, and he responded to sodium and fluid loading. This case highlights the differentiation of cerebral salt wasting syndrome from the more commonly occurring syndrome of inappropriate anti-diuretic hormone secretion as the aetiology of the hyponatraemia.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tuberculosis Meníngea
/
Encefalopatías Metabólicas
/
Infecciones Oportunistas Relacionadas con el SIDA
/
Hiponatremia
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Anaesth Intensive Care
Año:
1998
Tipo del documento:
Article
País de afiliación:
Singapur
Pais de publicación:
Estados Unidos