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Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging
Hyponatremia is a common finding after subarachnoid hemorrhaging (SAH) and can be caused by either cerebral salt-wasting syndrome (CSWS) or syndrome of inappropriate antidiuretic hormone (SIADH). Distinguishing between these two entities can be difficult because they have similar manifestations, inc...
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| Published in: | Internal Medicine 2017/03/15, Vol.56(6), pp.677-680 |
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| Main Authors: | , , , , , , , |
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| container_end_page | 680 |
| container_issue | 6 |
| container_start_page | 677 |
| container_title | Internal Medicine |
| container_volume | 56 |
| creator | Nakajima, Hanako Okada, Hiroshi Hirose, Kazuki Murakami, Toru Shiotsu, Yayoi Kadono, Mayuko Inoue, Mamoru Hasegawa, Goji |
| description | Hyponatremia is a common finding after subarachnoid hemorrhaging (SAH) and can be caused by either cerebral salt-wasting syndrome (CSWS) or syndrome of inappropriate antidiuretic hormone (SIADH). Distinguishing between these two entities can be difficult because they have similar manifestations, including hyponatremia, serum hypo-osmolality, and high urine osmolality. We herein report the case of a 60-year-old man who suffered from SAH complicated by hyponatremia. During his initial hospitalization, he was diagnosed with CSWS. He was readmitted one week later with hyponatremia and was diagnosed with SIADH. This is the first report of SAH causing CSWS followed by SIADH. These two different sources of hyponatremia require different treatments. |
| doi_str_mv | 10.2169/internalmedicine.56.6843 |
| format | article |
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Distinguishing between these two entities can be difficult because they have similar manifestations, including hyponatremia, serum hypo-osmolality, and high urine osmolality. We herein report the case of a 60-year-old man who suffered from SAH complicated by hyponatremia. During his initial hospitalization, he was diagnosed with CSWS. He was readmitted one week later with hyponatremia and was diagnosed with SIADH. This is the first report of SAH causing CSWS followed by SIADH. 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Med.</addtitle><description>Hyponatremia is a common finding after subarachnoid hemorrhaging (SAH) and can be caused by either cerebral salt-wasting syndrome (CSWS) or syndrome of inappropriate antidiuretic hormone (SIADH). Distinguishing between these two entities can be difficult because they have similar manifestations, including hyponatremia, serum hypo-osmolality, and high urine osmolality. We herein report the case of a 60-year-old man who suffered from SAH complicated by hyponatremia. During his initial hospitalization, he was diagnosed with CSWS. He was readmitted one week later with hyponatremia and was diagnosed with SIADH. This is the first report of SAH causing CSWS followed by SIADH. These two different sources of hyponatremia require different treatments.</description><subject>Antidiuretics</subject><subject>Case Report</subject><subject>CSWS</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Hyponatremia</subject><subject>Hyponatremia - etiology</subject><subject>Inappropriate ADH Syndrome - diagnosis</subject><subject>Inappropriate ADH Syndrome - etiology</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osmolar Concentration</subject><subject>SIADH</subject><subject>Subarachnoid Hemorrhage - complications</subject><subject>Syndrome</subject><subject>Urine</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkU-P0zAQxS0EYsvCV0CRuHBJ8Z_YsS9IqwroSis4FM6W40xaV4ldbGfRfntctVTLigOXmYN_8_xmHkIVwUtKhPrgfIbozThB76zzsORiKWTDnqEFYY2qW8r4c7TAisialnKFXqW0x5jJVtGX6IpKRgkWaoH8CiJ00YzVxoy5_mVSdn5bbR58H8MElfF9devN4RDDITqTobrx2fVujpCdrdYhTsHDI34ozqrN3Jlo7M4H11drmEKMO7Mtwq_Ri8GMCd6c-zX68fnT99W6vvv25XZ1c1dboVSuJTeDbaDFhEqKMZUDhk6JRhElGWGC2oFIzoBz0rXCyp51QwsNpkJyq4Rl1-jjSfcwd-VIFnwuO-qywmTigw7G6b9fvNvpbbjXvCG4aVUReH8WiOHnDCnrySUL42g8hDlpIstZheIc_wfaKiGKOVbQd0_QfZiPQSZNaSMUVaohhZInysaQUoTh4ptgfcxfP81fc6GP-ZfRt4_3vgz-CbwAX0_APmWzhQtgYolzhH8rH8v5hwtodyZq8Ow3N3nQBw</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Nakajima, Hanako</creator><creator>Okada, Hiroshi</creator><creator>Hirose, Kazuki</creator><creator>Murakami, Toru</creator><creator>Shiotsu, Yayoi</creator><creator>Kadono, Mayuko</creator><creator>Inoue, Mamoru</creator><creator>Hasegawa, Goji</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170101</creationdate><title>Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging</title><author>Nakajima, Hanako ; Okada, Hiroshi ; Hirose, Kazuki ; Murakami, Toru ; Shiotsu, Yayoi ; Kadono, Mayuko ; Inoue, Mamoru ; Hasegawa, Goji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c699t-85afc4e7012820028f0eb964919831362cf1853e551b76c8d3bf7e402685c96c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Antidiuretics</topic><topic>Case Report</topic><topic>CSWS</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Hyponatremia</topic><topic>Hyponatremia - etiology</topic><topic>Inappropriate ADH Syndrome - diagnosis</topic><topic>Inappropriate ADH Syndrome - etiology</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osmolar Concentration</topic><topic>SIADH</topic><topic>Subarachnoid Hemorrhage - complications</topic><topic>Syndrome</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakajima, Hanako</creatorcontrib><creatorcontrib>Okada, Hiroshi</creatorcontrib><creatorcontrib>Hirose, Kazuki</creatorcontrib><creatorcontrib>Murakami, Toru</creatorcontrib><creatorcontrib>Shiotsu, Yayoi</creatorcontrib><creatorcontrib>Kadono, Mayuko</creatorcontrib><creatorcontrib>Inoue, Mamoru</creatorcontrib><creatorcontrib>Hasegawa, Goji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakajima, Hanako</au><au>Okada, Hiroshi</au><au>Hirose, Kazuki</au><au>Murakami, Toru</au><au>Shiotsu, Yayoi</au><au>Kadono, Mayuko</au><au>Inoue, Mamoru</au><au>Hasegawa, Goji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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| ispartof | Internal Medicine, 2017/03/15, Vol.56(6), pp.677-680 |
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| language | eng |
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| source | PubMed Central |
| subjects | Antidiuretics Case Report CSWS Diagnosis, Differential Humans Hyponatremia Hyponatremia - etiology Inappropriate ADH Syndrome - diagnosis Inappropriate ADH Syndrome - etiology Internal medicine Male Middle Aged Osmolar Concentration SIADH Subarachnoid Hemorrhage - complications Syndrome Urine |
| title | Cerebral Salt-wasting Syndrome and Inappropriate Antidiuretic Hormone Syndrome after Subarachnoid Hemorrhaging |
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