The never-ending story of hyponatremia: a current problem to overcome
  • Benedetta Marigliano
    Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Rome, Italy
  • Luigi Scuro
    UOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo – Forlanini, Rome, Italy

Keywords

Hyponatremia, syndrome of inappropriate ADH secretion, cerebral salt-wasting syndrome

Abstract

Hyponatremia is a common complication in patients undergoing neurosurgery. If undiagnosed, it has a negative prognostic impact. The two dominant causes of refractory hyponatremia include syndrome of inappropriate ADH secretion (SIADH) and cerebral salt wasting syndrome (CSWS). Discrimination between the two types of disease is not always obvious. We present a case of undiagnosed chronic hyponatremia caused by CSWS after neurosurgery, which not only resulted in a longer hospital stay but also slowed the patient’s postoperative recovery. Meticulous clinical evaluation and the performance of appropriate laboratory tests are therefore essential not only for decisive treatment, but also for the establishment of comprehensive diagnostic algorithms that allow timely diagnosis and decisive therapy.

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    Published: 2024-06-10
    Issue: 2024: LATEST ONLINE (view)

    How to cite:
    1.
    Marigliano B, Scuro L. The never-ending story of hyponatremia: a current problem to overcome. EJCRIM 2024;11 doi:10.12890/2024_004609.

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