Inappropriate Secretion of Antidiuretic Hormone: A Rare Complication after Carotid Endarterectomy

The syndrome of inadequate secretion of the antidiuretic hormone (SIADH) is a very rare complication after carotid endarterectomy, characterized by hyponatremia, decrease of serum osmolarity as well as an increase in urinary osmolarity. We report the case of an 80-year-old woman who developed, 24 ho...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2006-11, Vol.32 (5), p.568-569
Main Authors: Cordobès-Gual, J., Lozano-Vilardell, P., Torrreguitart-Mirada, N., M-Rimbau, E.
Format: Article
Language:English
Subjects:
Aged, 80 and over
Carotid endarterectomy
Endarterectomy, Carotid - adverse effects
Female
Humans
Hyponatremia
Hyponatremia - blood
Hyponatremia - etiology
Hyponatremia - urine
Inappropriate ADH Syndrome - blood
Inappropriate ADH Syndrome - etiology
Inappropriate ADH Syndrome - urine
Osmolar Concentration
SIADH
Sodium - blood
Urine - chemistry
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Summary:The syndrome of inadequate secretion of the antidiuretic hormone (SIADH) is a very rare complication after carotid endarterectomy, characterized by hyponatremia, decrease of serum osmolarity as well as an increase in urinary osmolarity. We report the case of an 80-year-old woman who developed, 24 hours after the surgery, a picture of drowsiness and lethargy without neurological focality. The diagnosis of SIADH was suspected. We conclude that is important to have in mind this clinical entity in the differential diagnosis of non-focal neurological deficit after carotid endarterectomy.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2006.05.015