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Cerebral Salt Wasting Treated with Fludrocortisone in a 17-year-old Boy

Overview
Journal Yonsei Med J
Specialty General Medicine
Date 2012 Jun 6
PMID 22665358
Citations 2
Authors
Min Jeong Choi
Yoon Su Oh
Se Jin Park
Ji Hong Kim
Jae Il Shin
Affiliations
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Abstract

Cerebral salt wasting is characterized by inappropriate natriuresis and volume contraction with associated cerebral pathology. It is distinct from the syndrome of inappropriate antidiuretic hormone secretion, which is characterized by inappropriate retention of free water. We report a patient with a porencephalic cyst who developed cerebral salt wasting. His initial treatment was supplementation of water and salt, which did not improve natriuresis or volume contraction. Fludrocortisone administration effectively managed the cerebral salt wasting.

Citing Articles

Small Cell Lung Cancer Patient with Profound Hyponatremia and Acute Neurological Symptoms: An Effective Treatment with Fludrocortisone.

Jaal J, Jogi T, Altraja A Case Rep Oncol Med. 2015; 2015:286029.

PMID: 26240768 PMC: 4512576. DOI: 10.1155/2015/286029.

Syndrome of inappropriate antidiuretic hormone secretion and cerebral/renal salt wasting syndrome: similarities and differences.

Oh J, Shin J Front Pediatr. 2015; 2:146.

PMID: 25657991 PMC: 4302789. DOI: 10.3389/fped.2014.00146.

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