Prolonged coexistent central diabetes insipidus and cerebral salt wasting syndrome following neurosurgery

• 作者: A. Llaneza B. Joyanes B. Llorente D. López de Lara I. Runkle O. Pérez
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: ELECTROLYTE DISORDER Diabetes Insipidus CEREBRAL Salt WASTING Syndrome NEUROSURGERY
• 年，卷（期）: 2013,（2）
• 页码范围: 74-77
• 页数: 4页
• 分类号: R73

摘要

The coexistence of different water homeostasis abnormalities following neurosurgery represents a diagnostic and therapeutic challenge for intensive care units. This paper reports the case of a 13 year-old boy who underwent surgery for a suprasellar tumour and, immediately after surgery, developed a cerebral abscess, persistent diabetes insipidus (DI) as well as cerebral salt wasting syndrome (CSWS). The early onset of CSWS following DI has been associated with a poor prognosis and increased mortality. In cases in which these abnormalities coexist, the increased polyuria secondary to the rise in natriuresis associated with CSWS might be erroneously interpreted as a sign of poor control of the DI, thereby leading to therapeutic mistakes. Treatment basically consists of restoring electrolytes and the joint administration of desmopressin and fludrocortisone.