A 62 year old diabetic and hypertensive male presented with sudden onset generalized chorea. Investigations revealed uncontrolled diabetes with absent ketones and normal serum osmolality. Achievement of euglycemia with insulin therapy abolished the involuntary movements completely within a day. The direct effect of hyperglycemia causing striatal neuronal dysfunction could be the pathogenesis of...

Abnormalities in the vasopressin and renin systems have been reported in spontaneously hypertensive rats (SHR). Therefore, studies were performed to evaluate the responsiveness of these systems to changes in plasma osmolality and sodium concentration. These variables were manipulated in vivo by intraperitoneal administration of distilled water, isotonic saline, or hypertonic saline to 8- and 18...

Inland saline groundwater is abundant in various areas of the world but is not suitable for traditional agriculture irrigation and is also not suitable for marine aquaculture mainly because of potassium deficiencies. In the present work, we used marbled spinefoot rabbitfish Siganus rivulatus, as a model organism to investigate whether varying levels of aqueous K affect survival and growth, and ...

Current hydration assessments involve biological fluids that are either compromised in dehydrated individuals or require laboratory equipment, making timely results unfeasible. The eye has been proposed as a potential site to provide a field-based hydration measure. The present study evaluated the efficacy and sensitivity of intraocular pressure (IOP) to assess hydration status. Twelve healthy ...

Osmotherapy is the cornerstone of medical management for cerebral edema associated with large ischemic strokes. We determined the effect of duration of graded increases in serum osmolality with mannitol and hypertonic saline (HS) on blood-brain barrier (BBB) disruption and regional cerebral edema in a well-characterized rat model of large ischemic stroke. Halothane-anesthetized adult male Wista...

OBJECTIVE To investigate effect of equal volumes (250 ml) of 7.2% hypertonic saline - 6% hydroxyethyl starch (HS-HES) and 20% mannitol (M) on dural tension, serum osmolality and hemodynamics in patients during elective neurosurgical procedures. MATERIAL AND METHODS Forty ASA I-II patients scheduled for elective neurosurgical supratentorial procedures were randomly assigned to two groups. Abou...

777 April 2013 I N 1898, Starling1 described the forces governing fluid movement across various membranes. In 1919, Weed and McKibben showed that hypertonic fluids reduced intracranial pressure (ICP) and brain bulk,2,3 a finding immediately adopted clinically. Different compounds were tried (saline, glucose, sucrose, magnesium sulfate, urea, glycerol, and others), with mannitol (introduced in t...