Q:

What is cerebral salt wasting syndrome (CSW)?

waelhammad
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2022-11-19
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A 64-year-old male presents to the emergency with progressive altered behavior for 10 days, and seizures 1 day back. He is a known diabetic for 20 years and hypertensive. BP 140/90, RBS 130 mg, creatinine 1.2 mEq/L, Na 110 mEq/L, K 5.0. There is no history of seizures and CT head is normal. How would you evaluate this patient?

What is cerebral salt wasting syndrome (CSW)?

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waelhammad
2022-11-19
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It is a syndrome in which patients with cerebral disease present with hypo- natremia along with the presence of polyuria, elevated urinary sodium levels, and dehydration despite the presence of a low serum sodium concentration and adequate fluid intake (Table 17.2 and Fig. 17.1).

Causes:

• Aneurysmal SAH

• Head trauma

• Central nervous system (CNS) malignancy

• Central nervous system (CNS) infections

• Postoperative neurosurgical setting.

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