Cerebral Salt Wasting Syndrome Associated with Status Epilepticus.
Cerebral
Sodium
Status epilepticus
Journal
Journal of epilepsy research
ISSN: 2233-6249
Titre abrégé: J Epilepsy Res
Pays: Korea (South)
ID NLM: 101577886
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
13
10
2022
revised:
30
11
2022
accepted:
11
12
2022
entrez:
23
1
2023
pubmed:
24
1
2023
medline:
24
1
2023
Statut:
epublish
Résumé
Cerebral salt wasting syndrome (CSWS) is defined as a renal loss of sodium in cerebral disorders causing hyponatremia and loss of extracellular fluid volume. Similar laboratory findings may be seen in other conditions such as syndrome of inappropriate antidiuretic hormone secretion (SIADH). A 58-year-old male visited our emergency department because of the sudden development of seizures during sleep. Magnetic resonance imaging revealed subtle high signal intensity in the right hippocampus on diffusion-weighted imaging. Ictal rhythmic discharges were observed in the concordant area. Altered metal status, polyuria and laboratory test findings including hyponatremia were compatible with CSWS. After hydration and salt replacement, his mental state and hyponatremia gradually recovered. For diagnosing CSWS, meticulous physical examinations including analysis of fluid balance are essential. CSWS should be considered in patients with hyponatremia and polyuria. Accurate diagnosis of CSWS and SIADH is crucial as the treatment plans for these two conditions are completely different.
Identifiants
pubmed: 36685740
doi: 10.14581/jer.22016
pii: jer-22016
pmc: PMC9830030
doi:
Types de publication
Case Reports
Langues
eng
Pagination
82-84Informations de copyright
Copyright © 2022 Korean Epilepsy Society.
Déclaration de conflit d'intérêts
No potential conflict of interest relevant to this article was reported.
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