BACKGROUND The reported prevalence of cerebral salt wasting has increased in the past three decades. A cerebral lesion and a large natriuresis without a known stimulus to excrete so much sodium (Na ) constitute its essential two elements. OBJECTIVES To review the topic of cerebral salt wasting. There is a diagnostic problem because it is difficult to confirm that a stimulus for the renal excr...

Acute hyponatraemia is a common finding in patients with intracranial pathology. The diagnosis of the syndrome of inappropriate antidiuretic hormone (SIADH) is often made, but it is important to distinguish this from cerebral salt wasting syndrome, which responds to very different management. Cerebral salt wasting is well documented in neurosurgical patients and in patients with space occupying...

Acute hyponatraemia is a common finding in patients with intracranial pathology. The diagnosis of the syndrome of inappropriate antidiuretic hormone (SIADH) is often made, but it is important to distinguish this from cerebral salt wasting syndrome, which responds to very different management. Cerebral salt wasting is well documented in neurosurgical patients and in patients with space occupying...

Background: The existence and prevalence of cerebral salt wasting and its differentiation from syndrome of inappropriate antidiuretic hormone have been controversial. This controversy stems from overlapping clinical and laboratory findings and an inability to assess the volume status of these patients. Objectives:To present a case of a cerebral salt wasting syndrome secondary to a bacterial men...

Cerebral salt wasting syndrome can occur in children with encephalitis. Clinicians should be aware of hyponatremia in patients who develop polyuria with the signs of dehydration and deteriorated consciousness. Furthermore, patients who present with status epilepticus or who are suspected to have high intracranial pressure may have an increased risk of cerebral salt wasting syndrome.

ALTHOUGH recent studies of patients with cerebral and pulmonary salt wasting have implicated "inappropriate"' anti-diuretic hormone secretion as the basic defect, the norinality of aldosterone responsiveness has not been firmly established.'-' This paper reports a patient with cerebral salt wasting and hyponatremia in whom bal anee studies suggested normal aldosterone response and inappropriate...

A 71-year-old male with a long history of diabetes and hypertension was admitted with mild azotemia and recurrent hyponatremia. He was diagnosed with a pituitary gland cystic tumor. On careful evaluation, his hyponatremia was found to be due to cerebral salt wasting. The patient made a full recovery following treatment for cerebral salt wasting.

Hyponatremia is the most frequent electrolyte disorder in critically neurological patients. Cerebral salt wasting syndrome (CSW) is defined as a renal loss of sodium during intracranial disease leading to hyponatremia and a decrease in extracellular fluid volume. The pathogenesis of this disorder is still not completely understood. Sympathetic responses as well as some natriuretic factors play ...