시상 경색 후 발생한 대뇌성 염소모 증후군 1례
Cerebral Salt Wasting Syndrome Following Thalamic Infarction
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Background : Hyponatremia is a common electrolyte disturbance following intracranial disorders and is attributed either to the syndrome of inappropriate antidiuretic hormone secretion SIADH) or cerebral salt wasting syndrome(CSWS). A diagnosis of CSWS is based on hyponatremia, hypernatriuresis, increased diuresis and hypovolemia. Case Report : A 64-year-old woman with thalamic infarct developed hyponatremia associated with excessive renal sodium excretion and diuresis on the fifth day after cerebral infarct. The hyponatremia was normalized with fluid and salt supplementation. Conclusion : We suggest that hyponatremia following thalamic infarct may be related with CSWS rather than SIADH.
Abstract
Background : Hyponatremia is a common electrolyte disturbance following intracranial disorders and is attributed either to the syndrome of inappropriate antidiuretic hormone secretion SIADH) or cerebral salt wasting syndrome(CSWS). A diagnosis of CSWS is based on hyponatremia, hypernatriuresis, increased diuresis and hypovolemia. Case Report : A 64-year-old woman with thalamic infarct developed hyponatremia associated with excessive renal sodium excretion and diuresis on the fifth day after cerebral infarct. The hyponatremia was normalized with fluid and salt supplementation. Conclusion : We suggest that hyponatremia following thalamic infarct may be related with CSWS rather than SIADH.