Cerebral salt wasting following traumatic brain injury

Cerebral salt wasting following traumatic brain injury

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Hyponatraemia is the most commonly encountered electrolyte disturbance in neurological high dependency and intensive care units.Cerebral salt wasting (CSW) is the most elusive and challenging of the causes michael harris ii headband of hyponatraemia, and it is vital to distinguish it from the more familiar syndrome of inappropriate antidiuretic hormone (SIADH).Managing CSW requires correction crafthouse by fortessa glass smoking box with handheld smoker of the intravascular volume depletion and hyponatraemia, as well as mitigation of on-going substantial sodium losses.

Herein we describe a challenging case of CSW requiring large doses of hypertonic saline and the subsequent substantial benefit with the addition of fludrocortisone.