Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature
Background. Following acute traumatic brain injury, cerebral salt wasting (CSW) syndrome is considered as an important cause of hyponatremia apart from syndrome of inappropriate antidiuretic hormone. Differentiation between the two syndromes is crucial for the initiation of an adequate treatment. Ca...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2021/6679279 |
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| author | Mohamed Aziz Daghmouri Maroua Ouesleti Mohamed Amine Touati Olfa Faten Sameh Zakhama Lotfi Rebai |
| author_facet | Mohamed Aziz Daghmouri Maroua Ouesleti Mohamed Amine Touati Olfa Faten Sameh Zakhama Lotfi Rebai |
| author_sort | Mohamed Aziz Daghmouri |
| collection | DOAJ |
| description | Background. Following acute traumatic brain injury, cerebral salt wasting (CSW) syndrome is considered as an important cause of hyponatremia apart from syndrome of inappropriate antidiuretic hormone. Differentiation between the two syndromes is crucial for the initiation of an adequate treatment. Case Presentation. We report a 15-year-old female adolescent, admitted to intensive care for acute severe traumatic brain injury. During his hospitalization, she developed a hyponatremia with an increase of urine output and hypovolemia. So, the most probable diagnosis was CSW. Initially, she was treated by hypertonic saline and volume expansion. However, his sodium level continued to fall despite infusion of hypertonic saline. That is why fludrocortisone was introduced initially at 50 μg/day then increased to 150 μg/day. Fludrocortisone was continued for the next months. Serum sodium level was 138 mmol/L after one month of treatment. Conclusion. Hyponatremia may occur after severe traumatic brain injury that is why an adequate treatment initiated on time is necessary in order to reduce morbidity and mortality. |
| format | Article |
| id | doaj-art-a854197f3f87462cbbede32af6eaebf7 |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-a854197f3f87462cbbede32af6eaebf72025-08-20T02:20:44ZengWileyCase Reports in Critical Care2090-64202090-64392021-01-01202110.1155/2021/66792796679279Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the LiteratureMohamed Aziz Daghmouri0Maroua Ouesleti1Mohamed Amine Touati2Olfa Faten3Sameh Zakhama4Lotfi Rebai5Department of Anesthesia, Trauma Center of Ben Arrous, TunisiaDepartment of Anesthesia, Trauma Center of Ben Arrous, TunisiaDepartment of Anesthesia, Trauma Center of Ben Arrous, TunisiaDepartment of Anesthesia, Trauma Center of Ben Arrous, TunisiaDepartment of Anesthesia, Trauma Center of Ben Arrous, TunisiaDepartment of Anesthesia, Trauma Center of Ben Arrous, TunisiaBackground. Following acute traumatic brain injury, cerebral salt wasting (CSW) syndrome is considered as an important cause of hyponatremia apart from syndrome of inappropriate antidiuretic hormone. Differentiation between the two syndromes is crucial for the initiation of an adequate treatment. Case Presentation. We report a 15-year-old female adolescent, admitted to intensive care for acute severe traumatic brain injury. During his hospitalization, she developed a hyponatremia with an increase of urine output and hypovolemia. So, the most probable diagnosis was CSW. Initially, she was treated by hypertonic saline and volume expansion. However, his sodium level continued to fall despite infusion of hypertonic saline. That is why fludrocortisone was introduced initially at 50 μg/day then increased to 150 μg/day. Fludrocortisone was continued for the next months. Serum sodium level was 138 mmol/L after one month of treatment. Conclusion. Hyponatremia may occur after severe traumatic brain injury that is why an adequate treatment initiated on time is necessary in order to reduce morbidity and mortality.http://dx.doi.org/10.1155/2021/6679279 |
| spellingShingle | Mohamed Aziz Daghmouri Maroua Ouesleti Mohamed Amine Touati Olfa Faten Sameh Zakhama Lotfi Rebai Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature Case Reports in Critical Care |
| title | Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature |
| title_full | Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature |
| title_fullStr | Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature |
| title_full_unstemmed | Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature |
| title_short | Cerebral Salt Wasting Syndrome Caused by Severe Traumatic Brain Injury in a Pediatric Patient and Review of the Literature |
| title_sort | cerebral salt wasting syndrome caused by severe traumatic brain injury in a pediatric patient and review of the literature |
| url | http://dx.doi.org/10.1155/2021/6679279 |
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