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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 47, 2001, No. 7, p. 484-487 |
Cerebral Salt Wasting Syndrome as the Cause of Hyponatraemia in Patients at a Medical Department Šafářová R., Horáčková M.,Vaňková S., Forejt J., Háša J. I. interní klinika 3. Lékařské fakulty UK, Praha, přednosta prof. MUDr. J. Horák, CSc. |
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Summary: Hyponatremia is a common electrolyte disorder related to central nervous system diseases and is
often attributed to the syndrome of inappropriate antidiuretic hormon secretion (SIADH) and on
the other hand to the cerebral salt wasting syndrome (CSWS). This syndrome is characterized by
hyponatremia due to excesive renal sodium excretion resulting from a centrally mediated process. Given the divergent nature of the treatment it is of paramount importance for a clinician to
be able to recognize and differentiate between these two entities. Thus the monitoring of renal
function tests, which are needed for earlier diagnosis of effective osmolality disorders, is important to do in intensive care units, which are careing for patients with central nervous system
leasons. Two patients succesfully treated for CSW due to ischemic stroke caused by arterial
embolism from heart cavities are described.
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