Ann Clin Neurophysiol.  2022 Apr;24(1):30-34. 10.14253/acn.2022.24.1.30.

Cerebral salt wasting syndrome caused by external lumbar drainage in a patient with chronic hydrocephalus

• Yoo JH
• Park KD
• Lim OK
• Lee JK

• KMID: 2529505
• DOI: http://doi.org/10.14253/acn.2022.24.1.30

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.

Keyword

Cerebral salt wasting syndrome; Hyponatremia; Hydrocephalus; External lumbar drainage; Ventriculoperitoneal shunt