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http://dx.doi.org/10.14253/acn.2022.24.1.30

Cerebral salt wasting syndrome caused by external lumbar drainage in a patient with chronic hydrocephalus  

Yoo, Je Hyun (Department of Rehabilitation Medicine, Gil Medical Center)
Park, Ki Deok (Department of Rehabilitation Medicine, Gil Medical Center)
Lim, Oh Kyung (Department of Rehabilitation Medicine, Gil Medical Center)
Lee, Ju Kang (Department of Rehabilitation Medicine, Gil Medical Center)
Publication Information
Annals of Clinical Neurophysiology / v.24, no.1, 2022 , pp. 30-34 More about this Journal
Abstract
In cases of hyponatremia induced by brain damage, it is important to distinguish between the syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and cerebral salt wasting syndrome. A ventriculoperitoneal (VP) shunt is the standard treatment for hydrocephalus, and external lumbar drainage (ELD) is an option to evaluate the effect of a VP shunt. However, ELD has potential complications, such as subarachnoid hemorrhage, meningitis, and rarely hyponatremia. Therefore, we report a case of a patient with cerebral salt-wasting syndrome resulting from ELD to treat normal-pressure hydrocephalus during the rehabilitation of acute ischemic stroke.
Keywords
Cerebral salt wasting syndrome; Hyponatremia; Hydrocephalus; External lumbar drainage; Ventriculoperitoneal shunt;
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