Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone
Objective: Our objective is to demonstrate the interest of thinking about Cerebral salt wasting syndrome (CSW) in front of hyponatremia with severe hypovolemia after a brain injury, and at the same time the interest to differentiate between Syndrome of Inappropriate Antidiuretic Hormone Secretion (S...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332100618X |
| _version_ | 1818852170575904768 |
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| author | Amine Bouchlarhem Leila Haddar Hajar Berrichi Meryem Jabri Abderrahim Lachhab Nour El houda Lamassab Safaa Bekkaoui Ibtissam Ben El Mamoun Oualid Berramdane Noureddine Oulali |
| author_facet | Amine Bouchlarhem Leila Haddar Hajar Berrichi Meryem Jabri Abderrahim Lachhab Nour El houda Lamassab Safaa Bekkaoui Ibtissam Ben El Mamoun Oualid Berramdane Noureddine Oulali |
| author_sort | Amine Bouchlarhem |
| collection | DOAJ |
| description | Objective: Our objective is to demonstrate the interest of thinking about Cerebral salt wasting syndrome (CSW) in front of hyponatremia with severe hypovolemia after a brain injury, and at the same time the interest to differentiate between Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Cerebral salt wasting syndrome (CSW) as two etiologies to be evoked in front of a hyponatremia with brain injury.Case report: We report the case of a 63-year-old patient with a recent history of hemorrhagic stroke admitted for severe hypovolemic shock in whom the investigations find a very deep hypotonic hyponatremia secondary to a cerebral salt wasting syndrome successfully treated with fludrocortisone.Discussion: CWS is characterized by hypotonic hyponatremia associated with cerebral associated with hypovolemia, the difficulty of the diagnosis is explained by the points of convergences with SIADH which is also presented with hyponatremia. The treatment is based on filling with saline, if the symptoms are severe, hypertonic saline has its place. Fludrocortisone has proven its effectiveness in the correction of refractory hyponatremia in CWS.Conclusion: It is essential to differentiate between hyponatremia in CWS and hyponatremia in SIADH because the medical care is categorically different. |
| first_indexed | 2024-12-19T07:16:40Z |
| format | Article |
| id | doaj.art-2300c07c54e64342b0f4cb6b4c818d44 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-19T07:16:40Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-2300c07c54e64342b0f4cb6b4c818d442022-12-21T20:31:02ZengElsevierRadiology Case Reports1930-04332022-01-01171106110Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisoneAmine Bouchlarhem0Leila Haddar1Hajar Berrichi2Meryem Jabri3Abderrahim Lachhab4Nour El houda Lamassab5Safaa Bekkaoui6Ibtissam Ben El Mamoun7Oualid Berramdane8Noureddine Oulali9Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco; Corresponding author.Department of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoDepartment of Emergency, Mohammed VI University Hospital, Oujda, Morocco; Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MoroccoObjective: Our objective is to demonstrate the interest of thinking about Cerebral salt wasting syndrome (CSW) in front of hyponatremia with severe hypovolemia after a brain injury, and at the same time the interest to differentiate between Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Cerebral salt wasting syndrome (CSW) as two etiologies to be evoked in front of a hyponatremia with brain injury.Case report: We report the case of a 63-year-old patient with a recent history of hemorrhagic stroke admitted for severe hypovolemic shock in whom the investigations find a very deep hypotonic hyponatremia secondary to a cerebral salt wasting syndrome successfully treated with fludrocortisone.Discussion: CWS is characterized by hypotonic hyponatremia associated with cerebral associated with hypovolemia, the difficulty of the diagnosis is explained by the points of convergences with SIADH which is also presented with hyponatremia. The treatment is based on filling with saline, if the symptoms are severe, hypertonic saline has its place. Fludrocortisone has proven its effectiveness in the correction of refractory hyponatremia in CWS.Conclusion: It is essential to differentiate between hyponatremia in CWS and hyponatremia in SIADH because the medical care is categorically different.http://www.sciencedirect.com/science/article/pii/S193004332100618XCerebral Salt Wasting SyndromeHyponatremiaHypovolemic ShockSIADHFludrocortisone-Serum Salin |
| spellingShingle | Amine Bouchlarhem Leila Haddar Hajar Berrichi Meryem Jabri Abderrahim Lachhab Nour El houda Lamassab Safaa Bekkaoui Ibtissam Ben El Mamoun Oualid Berramdane Noureddine Oulali Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone Radiology Case Reports Cerebral Salt Wasting Syndrome Hyponatremia Hypovolemic Shock SIADH Fludrocortisone-Serum Salin |
| title | Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone |
| title_full | Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone |
| title_fullStr | Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone |
| title_full_unstemmed | Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone |
| title_short | Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone |
| title_sort | cerebral salt wasting syndrome csw an unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone |
| topic | Cerebral Salt Wasting Syndrome Hyponatremia Hypovolemic Shock SIADH Fludrocortisone-Serum Salin |
| url | http://www.sciencedirect.com/science/article/pii/S193004332100618X |
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