A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy
We treated a patient with neurosarcoidosis, which caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), in whom diagnosis was performed using neuroendoscopy. The patient was a 56-year-old female who was hospitalized for hyponatremia and diagnosed with SIADH based on a detai...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/9496149 |
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| author | Shiko Gen Akio Ogawa Koji Kanai Kanako Nobe Naofumi Ikeda Atsuko Mochizuki Kazuo Tokushige |
| author_facet | Shiko Gen Akio Ogawa Koji Kanai Kanako Nobe Naofumi Ikeda Atsuko Mochizuki Kazuo Tokushige |
| author_sort | Shiko Gen |
| collection | DOAJ |
| description | We treated a patient with neurosarcoidosis, which caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), in whom diagnosis was performed using neuroendoscopy. The patient was a 56-year-old female who was hospitalized for hyponatremia and diagnosed with SIADH based on a detailed examination. During the course, she developed impaired consciousness due to acute hydrocephalus, which improved after ventricular drainage. Head magnetic resonance imaging (MRI) confirmed nodular lesions at the floor of the third ventricle and the cerebral aqueduct. Neuroendoscopic biopsy led to the diagnosis of neurosarcoidosis. Her hyponatremia improved after steroid therapy. Neurosarcoidosis can cause SIADH, and complication of hydrocephalus may lead to a poor prognosis. Neuroendoscopy appears to be effective for the diagnosis of neurosarcoidosis with hydrocephalus and helps in deciding the treatment modality. |
| format | Article |
| id | doaj-art-705498a15e544fd899eeec32c6e5cb4e |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-705498a15e544fd899eeec32c6e5cb4e2025-08-20T03:34:01ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/94961499496149A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with NeuroendoscopyShiko Gen0Akio Ogawa1Koji Kanai2Kanako Nobe3Naofumi Ikeda4Atsuko Mochizuki5Kazuo Tokushige6Department of Nephrology, Saitama Sekishinkai Hospital, Saitama, JapanDepartment of Nephrology, Saitama Sekishinkai Hospital, Saitama, JapanDepartment of Nephrology, Saitama Sekishinkai Hospital, Saitama, JapanDepartment of Nephrology, Saitama Sekishinkai Hospital, Saitama, JapanDepartment of Nephrology, Saitama Sekishinkai Hospital, Saitama, JapanDepartment of Neurology, Saitama Sekishinkai Hospital, Saitama, JapanDepartment of Neurosurgery, Saitama Sekishinkai Hospital, Saitama, JapanWe treated a patient with neurosarcoidosis, which caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), in whom diagnosis was performed using neuroendoscopy. The patient was a 56-year-old female who was hospitalized for hyponatremia and diagnosed with SIADH based on a detailed examination. During the course, she developed impaired consciousness due to acute hydrocephalus, which improved after ventricular drainage. Head magnetic resonance imaging (MRI) confirmed nodular lesions at the floor of the third ventricle and the cerebral aqueduct. Neuroendoscopic biopsy led to the diagnosis of neurosarcoidosis. Her hyponatremia improved after steroid therapy. Neurosarcoidosis can cause SIADH, and complication of hydrocephalus may lead to a poor prognosis. Neuroendoscopy appears to be effective for the diagnosis of neurosarcoidosis with hydrocephalus and helps in deciding the treatment modality.http://dx.doi.org/10.1155/2018/9496149 |
| spellingShingle | Shiko Gen Akio Ogawa Koji Kanai Kanako Nobe Naofumi Ikeda Atsuko Mochizuki Kazuo Tokushige A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy Case Reports in Medicine |
| title | A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy |
| title_full | A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy |
| title_fullStr | A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy |
| title_full_unstemmed | A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy |
| title_short | A Case of Neurosarcoidosis-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone Diagnosed with Neuroendoscopy |
| title_sort | case of neurosarcoidosis induced syndrome of inappropriate secretion of antidiuretic hormone diagnosed with neuroendoscopy |
| url | http://dx.doi.org/10.1155/2018/9496149 |
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