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Journal of Korean Neurosurgical Society 1999;28(5): 726-726.
Cerebral Salt Wasting Syndrome Associated with Pseudomonas Meningitis ccurred after Removal of Pituitary Adenoma: A Case Report.
Kwang Gik Ko, Jong Pil Eun, Yong Seog Kim, Soong Hee Lee, Dong Gyu Shin, Chang Young Kwon
Department of Neurosurgery, Presbyterian Medical Center, Chonju, Korea.
The authors report a case of cerebral salt wasting(CSW) syndrome followed by diabetes insipidus and meningitis after transsphenoidal approach for pituitary adenoma. Fluid and electrolyte imbalance occurs occasionally in neurosurgical patients due to DI or SIADH, however, CSW is different disease entity and the methods of treatment are different from those of DI or SIADH. A number of studies in recent years have shown that hyponatremia in many patients with intracranial disease might actually be caused by CSW in which a renal loss of sodium leads to hyponatremia and massive urinary water loss. CSW of this patient was resolved by fluid and salt replacement after 6 months.
Key Words: Water loss; Hyponatremia; Diabetes insipidus; Cerebral salt wasting syndrome; Bacterial meningitis; Pituitary adenoma
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