A Case of Cerebral Salt Wasting Syndrome in Neuromyelitis Optica Spectrum Disorder.
- Author:
Young Min PAEK
1
;
Jae Jung LEE
;
Pamela SONG
;
Hee Kyung PARK
;
Joong Yang CHO
Author Information
1. Department of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. joongyangcho@gmail.com, jenhkpark@gmail.com
- Publication Type:Case Report
- Keywords:
Cerebral salt wasting syndrome;
Neuromyelitis optica;
Intractable vomiting;
Hyponatremia
- MeSH:
Area Postrema;
Hiccup;
Humans;
Hyponatremia;
Inappropriate ADH Syndrome;
Natriuresis;
Neuromyelitis Optica*;
Vomiting;
Wasting Syndrome*
- From:Soonchunhyang Medical Science
2017;23(2):115-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
Neuromyelitis optica spectrum disorder (NMOSD) may present with area postrema syndrome, which is characterized by intractable vomiting and hiccups. Hyponatremia is common in NMOSD and is mostly associated with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). In contrast to SIADH, cerebral salt wasting syndrome (CSWS) causes hyponatremia, which is associated with severe natriuresis and extracellular volume depletion in patients with cerebral disease. To our knowledge, hyponatremia associated with CSWS has not been reported in a patient with NMOSD. Here, we describe a NMOSD presenting with hyponatremia, which may be caused by CSWS following area postrema syndrome.