Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Cerebral salt wasting syndrome caused by external lumbar drainage in a patient with chronic hydrocephalus

  • Yoo, Je Hyun (Department of Rehabilitation Medicine, Gil Medical Center) ;
  • Park, Ki Deok (Department of Rehabilitation Medicine, Gil Medical Center) ;
  • Lim, Oh Kyung (Department of Rehabilitation Medicine, Gil Medical Center) ;
  • Lee, Ju Kang (Department of Rehabilitation Medicine, Gil Medical Center)
  • Received : 2022.03.30
  • Accepted : 2022.04.10
  • Published : 2022.04.30
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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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References

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