Hyponatremia in Neurosurgical Patients
Hyponatremia refers to a common and potentially dangerous electrolyte imbalance observed in neurosurgical patients, particularly following traumatic brain injuries, subarachnoid hemorrhages, brain tumors, and pituitary surgeries. The paper discusses primary causes and pathophysiology of hyponatremia...
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| Format: | Article |
| Language: | English |
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Bashkir State Medical University
2024-12-01
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| Series: | Креативная хирургия и онкология |
| Subjects: | |
| Online Access: | https://www.surgonco.ru/jour/article/view/1024 |
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| author | О. A. Beylerli A. A. Bukhvostov |
| author_facet | О. A. Beylerli A. A. Bukhvostov |
| author_sort | О. A. Beylerli |
| collection | DOAJ |
| description | Hyponatremia refers to a common and potentially dangerous electrolyte imbalance observed in neurosurgical patients, particularly following traumatic brain injuries, subarachnoid hemorrhages, brain tumors, and pituitary surgeries. The paper discusses primary causes and pathophysiology of hyponatremia, including the syndrome of inappropriate secretion of antidiuretic hormone, central adrenal insufficiency, and cerebral salt wasting syndrome. The paper presents differential diagnostic approaches for accurately identifying the underlying causes of hyponatremia, as well as therapeutic strategies that include hypertonic sodium solution infusions, hydrocortisone replacement therapy, and the use of vasopressin receptor antagonists. The study delineates the potential complications associated with overly rapid correction of sodium levels, such as osmotic demyelination syndrome. It emphasizes the importance of accurate diagnosis and timely treatment to enhance patient outcomes and minimize the risk of complications. |
| format | Article |
| id | doaj-art-c0c0e40ed5b94901a2e688f948ff61db |
| institution | DOAJ |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-c0c0e40ed5b94901a2e688f948ff61db2025-08-20T03:19:21ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012024-12-0114438238710.24060/2076-3093-2024-14-4-382-387604Hyponatremia in Neurosurgical PatientsО. A. Beylerli0A. A. Bukhvostov1Central Research Laboratory, Bashkir State Medical UniversityN.I. Pirogov Russian National Research Medical UniversityHyponatremia refers to a common and potentially dangerous electrolyte imbalance observed in neurosurgical patients, particularly following traumatic brain injuries, subarachnoid hemorrhages, brain tumors, and pituitary surgeries. The paper discusses primary causes and pathophysiology of hyponatremia, including the syndrome of inappropriate secretion of antidiuretic hormone, central adrenal insufficiency, and cerebral salt wasting syndrome. The paper presents differential diagnostic approaches for accurately identifying the underlying causes of hyponatremia, as well as therapeutic strategies that include hypertonic sodium solution infusions, hydrocortisone replacement therapy, and the use of vasopressin receptor antagonists. The study delineates the potential complications associated with overly rapid correction of sodium levels, such as osmotic demyelination syndrome. It emphasizes the importance of accurate diagnosis and timely treatment to enhance patient outcomes and minimize the risk of complications.https://www.surgonco.ru/jour/article/view/1024hyponatremianeurosurgical patientssyndrome of inappropriate secretion of antidiuretic hormonecerebral salt wasting syndromeadrenal insufficiency |
| spellingShingle | О. A. Beylerli A. A. Bukhvostov Hyponatremia in Neurosurgical Patients Креативная хирургия и онкология hyponatremia neurosurgical patients syndrome of inappropriate secretion of antidiuretic hormone cerebral salt wasting syndrome adrenal insufficiency |
| title | Hyponatremia in Neurosurgical Patients |
| title_full | Hyponatremia in Neurosurgical Patients |
| title_fullStr | Hyponatremia in Neurosurgical Patients |
| title_full_unstemmed | Hyponatremia in Neurosurgical Patients |
| title_short | Hyponatremia in Neurosurgical Patients |
| title_sort | hyponatremia in neurosurgical patients |
| topic | hyponatremia neurosurgical patients syndrome of inappropriate secretion of antidiuretic hormone cerebral salt wasting syndrome adrenal insufficiency |
| url | https://www.surgonco.ru/jour/article/view/1024 |
| work_keys_str_mv | AT oabeylerli hyponatremiainneurosurgicalpatients AT aabukhvostov hyponatremiainneurosurgicalpatients |