Yonsei Med J.
2012 Jul;53(4):859-862. 10.3349/ymj.2012.53.4.859.
Cerebral Salt Wasting Treated with Fludrocortisone in a 17-Year-Old Boy
- Affiliations
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- 1The Institute of Kidney Disease, Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul, Korea. shinji@yuhs.ac
- 2Department of Pediatrics, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea.
- KMID: 1716890
- DOI: http://doi.org/10.3349/ymj.2012.53.4.859
Abstract
- Cerebral salt wasting is characterized by inappropriate natriuresis and volume contraction with associated cerebral pathology. It is distinct from the syndrome of inappropriate antidiuretic hormone secretion, which is characterized by inappropriate retention of free water. We report a patient with a porencephalic cyst who developed cerebral salt wasting. His initial treatment was supplementation of water and salt, which did not improve natriuresis or volume contraction. Fludrocortisone administration effectively managed the cerebral salt wasting.
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