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Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging

Hyponatremia is a common finding after subarachnoid hemorrhaging (SAH) and can be caused by either cerebral salt-wasting syndrome (CSWS) or syndrome of inappropriate antidiuretic hormone (SIADH). Distinguishing between these two entities can be difficult because they have similar manifestations, inc...

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Autores principales: Nakajima, Hanako, Okada, Hiroshi, Hirose, Kazuki, Murakami, Toru, Shiotsu, Yayoi, Kadono, Mayuko, Inoue, Mamoru, Hasegawa, Goji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410479/
https://www.ncbi.nlm.nih.gov/pubmed/28321069
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author Nakajima, Hanako
Okada, Hiroshi
Hirose, Kazuki
Murakami, Toru
Shiotsu, Yayoi
Kadono, Mayuko
Inoue, Mamoru
Hasegawa, Goji
author_facet Nakajima, Hanako
Okada, Hiroshi
Hirose, Kazuki
Murakami, Toru
Shiotsu, Yayoi
Kadono, Mayuko
Inoue, Mamoru
Hasegawa, Goji
author_sort Nakajima, Hanako
collection PubMed
description Hyponatremia is a common finding after subarachnoid hemorrhaging (SAH) and can be caused by either cerebral salt-wasting syndrome (CSWS) or syndrome of inappropriate antidiuretic hormone (SIADH). Distinguishing between these two entities can be difficult because they have similar manifestations, including hyponatremia, serum hypo-osmolality, and high urine osmolality. We herein report the case of a 60-year-old man who suffered from SAH complicated by hyponatremia. During his initial hospitalization, he was diagnosed with CSWS. He was readmitted one week later with hyponatremia and was diagnosed with SIADH. This is the first report of SAH causing CSWS followed by SIADH. These two different sources of hyponatremia require different treatments.
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spelling pubmed-54104792017-05-15 Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging Nakajima, Hanako Okada, Hiroshi Hirose, Kazuki Murakami, Toru Shiotsu, Yayoi Kadono, Mayuko Inoue, Mamoru Hasegawa, Goji Intern Med Case Report Hyponatremia is a common finding after subarachnoid hemorrhaging (SAH) and can be caused by either cerebral salt-wasting syndrome (CSWS) or syndrome of inappropriate antidiuretic hormone (SIADH). Distinguishing between these two entities can be difficult because they have similar manifestations, including hyponatremia, serum hypo-osmolality, and high urine osmolality. We herein report the case of a 60-year-old man who suffered from SAH complicated by hyponatremia. During his initial hospitalization, he was diagnosed with CSWS. He was readmitted one week later with hyponatremia and was diagnosed with SIADH. This is the first report of SAH causing CSWS followed by SIADH. These two different sources of hyponatremia require different treatments. The Japanese Society of Internal Medicine 2017-03-15 /pmc/articles/PMC5410479/ /pubmed/28321069 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nakajima, Hanako
Okada, Hiroshi
Hirose, Kazuki
Murakami, Toru
Shiotsu, Yayoi
Kadono, Mayuko
Inoue, Mamoru
Hasegawa, Goji
Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
title Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
title_full Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
title_fullStr Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
title_full_unstemmed Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
title_short Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
title_sort cerebral salt-wasting syndrome and inappropriate antidiuretic hormone syndrome after subarachnoid hemorrhaging
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410479/
https://www.ncbi.nlm.nih.gov/pubmed/28321069
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