Cerebral salt wasting syndrome
- VernacularTitle:脑性盐耗综合症
- Author:
Han GAO
;
Jialin ZHANG
;
Songtao QI
- Publication Type:Journal Article
- Keywords:
Brain diseases;
Inappropriate ADH syndrome;
Hyponatremia
- From:
Chinese Journal of Pathophysiology
1986;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
There is significant evidence to show that many neurosurgical patients with hyponatremia, who were previously diagnosed with syndrome of inappropriate antidiuretic hormone secretion(SIADH), actually have cerebral salt wasting syndrome(CSWS). The critical difference between SIADH and CSWS is that CSWS involves renal salt loss leading to hyponatremia and volume loss, whereas SIADH is a euvolemic or hypervolemic condition. The primary treatment for CSWS is water and salt replacement. The mechanisms underlying CSWS are not understood but may involve ANP or other natriuretic factors and direct neural influence on renal function.