Cerebral salt wasting syndrome caused by external lumbar drainage in a patient with chronic hydrocephalus
- Authors
- Yoo, Je Hyun; Park, Ki Deok; Lim, Oh Kyung; Lee, Ju Kang
- Issue Date
- Apr-2022
- Publisher
- 대한임상신경생리학회
- Keywords
- Cerebral salt wasting syndrome; Hyponatremia; Hydrocephalus; External lumbar drainage; Ventriculoperitoneal shunt
- Citation
- Annals of Clinical Neurophysiology, v.24, no.1, pp.30 - 34
- Journal Title
- Annals of Clinical Neurophysiology
- Volume
- 24
- Number
- 1
- Start Page
- 30
- End Page
- 34
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/84193
- ISSN
- 2508-691X
- Abstract
- In cases of hyponatremia induced by brain damage, it is important to distinguish between the syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and cerebral salt wasting syndrome. A ventriculoperitoneal (VP) shunt is the standard treatment for hydrocephalus, and external lumbar drainage (ELD) is an option to evaluate the effect of a VP shunt. However, ELD has potential complications, such as subarachnoid hemorrhage, meningitis, and rarely hyponatremia. Therefore, we report a case of a patient with cerebral salt-wasting syndrome resulting from ELD to treat normal-pressure hydrocephalus during the rehabilitation of acute ischemic stroke.
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