Cerebral Salt Wasting Treated with Fludrocortisone in a 17-Year-Old Boy.
10.3349/ymj.2012.53.4.859
- Author:
Min Jeong CHOI
1
;
Yoon Su OH
;
Se Jin PARK
;
Ji Hong KIM
;
Jae Il SHIN
Author Information
1. The Institute of Kidney Disease, Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul, Korea. shinji@yuhs.ac
- Publication Type:Case Reports
- Keywords:
Cerebral salt wasting;
hyponatremia;
fludrocortisone
- MeSH:
Adolescent;
Fludrocortisone/*therapeutic use;
Humans;
Hyponatremia/*drug therapy;
Male;
Natriuresis/physiology;
Sodium Chloride/therapeutic use
- From:Yonsei Medical Journal
2012;53(4):859-862
- CountryRepublic of Korea
- Language:English
-
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.
