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Prolonged coexistent central diabetes insipidus and cerebral salt wasting syndrome following neurosurgery
- Source :
- Open Journal of Pediatrics. :74-77
- Publication Year :
- 2013
- Publisher :
- Scientific Research Publishing, Inc., 2013.
-
Abstract
- The coexistence of different water homeostasis abnormalities following neurosurgery represents a diagnostic and therapeutic challenge for intensive care units. This paper reports the case of a 13 year-old boy who underwent surgery for a suprasellar tumour and, immediately after surgery, developed a cerebral abscess, persistent diabetes insipidus (DI) as well as cerebral salt wasting syndrome (CSWS). The early onset of CSWS following DI has been associated with a poor prognosis and increased mortality. In cases in which these abnormalities coexist, the increased polyuria secondary to the rise in natriuresis associated with CSWS might be erroneously interpreted as a sign of poor control of the DI, thereby leading to therapeutic mistakes. Treatment basically consists of restoring electrolytes and the joint administration of desmopressin and fludrocortisone.
Details
- ISSN :
- 21608776 and 21608741
- Database :
- OpenAIRE
- Journal :
- Open Journal of Pediatrics
- Accession number :
- edsair.doi...........d6a86846537e8049d5339458c6c5dee0