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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Autores principales:	Amine Bouchlarhem, Leila Haddar, Hajar Berrichi, Meryem Jabri, Abderrahim Lachhab, Nour El houda Lamassab, Safaa Bekkaoui, Ibtissam Ben El Mamoun, Oualid Berramdane, Noureddine Oulali
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Cerebral Salt Wasting Syndrome Hyponatremia Hypovolemic Shock SIADH Fludrocortisone-Serum Salin Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/2300c07c54e64342b0f4cb6b4c818d44
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spelling	oai:doaj.org-article:2300c07c54e64342b0f4cb6b4c818d442021-11-30T04:14:49ZCerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone1930-043310.1016/j.radcr.2021.08.049https://doaj.org/article/2300c07c54e64342b0f4cb6b4c818d442022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S193004332100618Xhttps://doaj.org/toc/1930-0433Objective: 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.Amine BouchlarhemLeila HaddarHajar BerrichiMeryem JabriAbderrahim LachhabNour El houda LamassabSafaa BekkaouiIbtissam Ben El MamounOualid BerramdaneNoureddine OulaliElsevierarticleCerebral Salt Wasting SyndromeHyponatremiaHypovolemic ShockSIADHFludrocortisone-Serum SalinMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 106-110 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cerebral Salt Wasting Syndrome Hyponatremia Hypovolemic Shock SIADH Fludrocortisone-Serum Salin Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Cerebral Salt Wasting Syndrome Hyponatremia Hypovolemic Shock SIADH Fludrocortisone-Serum Salin Medical physics. Medical radiology. Nuclear medicine R895-920 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
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.
format	article
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
title	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_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_sort	cerebral salt wasting syndrome (csw): an unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/2300c07c54e64342b0f4cb6b4c818d44
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Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone

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