Article (Scientific journals)
Le cas clinique du mois. Le cerebral salt wasting syndrome: a propos d'un cas
Llabres, Vinciane; Canivet, Jean-Luc; Hennuy, V. et al.
1999In Revue Médicale de Liège, 54 (11), p. 850-853
Peer reviewed
 

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Abstract :
[en] A 75 year old woman was found to have a posterior cerebellar lesion which after surgical removal was shown to be a meningioma. Her postoperative course was complicated by a MRSA meningitis and on day 23 after resection, a polyuria up to 11.7 1/24 h became apparent. The diagnosis of cerebral wasting syndrome (CSWS) was made based on biological and clinical features such as an excessive natriuresis (143 mmol/l) resulting in hyponatremia (130 mmol/l) and an osmolarity higher in urine than in blood. A low central venous pressure and a low wedge pressure confirming a volumic depletion indicated the diagnosis of CSWS. This syndrome has marked similarities with the Inappropriate Secretion of Antidiuretic Hormone Syndrome (SIADH) in terms of biological finding with regards to clinical context and presentation. Without an adequate assessment, a patient with CSWS may be misdiagnosed as SIADH. However recognition is important, as water restriction which is part of SIADH treatment, is detrimental to patients with CSWS and can possibly be lethal.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Llabres, Vinciane 
Canivet, Jean-Luc ;  Université de Liège - ULiège > Soins intensifs
Hennuy, V.
Damas, Pierre ;  Université de Liège - ULiège > Soins intensifs
Language :
French
Title :
Le cas clinique du mois. Le cerebral salt wasting syndrome: a propos d'un cas
Alternative titles :
[en] Clinical Case of the Month. Cerebral salt wasting syndrome: Report of a case
Publication date :
November 1999
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Hopital de Baviere, Liège, Belgium
Volume :
54
Issue :
11
Pages :
850-853
Peer reviewed :
Peer reviewed
Additional URL :
Available on ORBi :
since 29 September 2010

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