A Case of Cerebral Salt Wasting Syndrome Associated with Tuberculous Meningitis.
10.4046/trd.2005.59.3.306
- Author:
Ja Young LEE
1
;
Eun Sil LEE
;
Jae Hyong LEE
;
Eun Ju LIM
;
Hyoung Su KIM
;
Ji Seon JANG
;
Hyeon Kyu KIM
;
Doo Man KIM
;
Yong Bum PARK
;
Jae Young LEE
;
Eun Kyung MO
Author Information
1. Departments of Internal Medicine, College of Medicine, Hallym University, Chuncheon, Korea. bfspark@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Cerebral salt wasting syndrome;
Tuberculous meningitis;
Hyponatremia
- MeSH:
Adult;
Central Nervous System;
Diagnosis;
Extracellular Fluid;
Fludrocortisone;
Humans;
Hyponatremia;
Hypotension;
Male;
Natriuresis;
Polyuria;
Sodium;
Tuberculosis, Meningeal*;
Wasting Syndrome*
- From:Tuberculosis and Respiratory Diseases
2005;59(3):306-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hyponatremia which is due to excessive sodium loss in the urine and decrease in extracellular fluid volume following an acute or chronic central nervous system injury, has been conjunctively described as cerebral salt wasting syndrome (CSWS). This syndrome is often confused with dilutional hyponatremia due to inappropriate secretion of antidiuretic hormone. Accurate diagnosis and management are mandatory for improvement of the course of the disease. This report describes a case of a 31-year-old male patient with CSWS associated with tuberculous meningitis. The patient exhibited hyponatremia, polyuria, excessive natriuresis, volume depletion, and hypotension. He was diagnosed to manifest CSWS and was treated by administration of fluids, salt, and fludrocortisone. After the respective treatments, symptoms of polyuria and hypotension were gradually resolved and hyponatremia was corrected.
