Management of hyponatraemia in patients with acute cerebral insults

A Albanese; P Hindmarsh; R Stanhope

doi:10.1136/adc.85.3.246

Management of hyponatraemia in patients with acute cerebral insults

Arch Dis Child. 2001 Sep;85(3):246-51. doi: 10.1136/adc.85.3.246.

Authors

A Albanese¹, P Hindmarsh, R Stanhope

Affiliation

¹ Department of Paediatric Endocrinology, St George's Hospital, Level 5, Lanesborough Wing, Blackshaw Road, London SW17 0QT, UK. assuntaalbanese@hotmail.com

Abstract

Hyponatraemia is a common finding in patients with acute cerebral insults. The main differential diagnosis is between syndrome of inappropriate ADH secretion and cerebral salt wasting. Our aim is to review the topic of hyponatraemia in patients with acute cerebral insults and suggest a clinical approach to diagnosis and management.

Publication types

Case Reports
Review

MeSH terms

Acute Disease
Algorithms
Brain Diseases / complications*
Brain Diseases / therapy
Child, Preschool
Deamino Arginine Vasopressin / therapeutic use
Diabetes Insipidus / diagnosis
Diabetes Insipidus / etiology
Diabetes Insipidus / therapy
Diagnosis, Differential
Female
Fluid Therapy
Humans
Hyponatremia / diagnosis
Hyponatremia / etiology
Hyponatremia / therapy*
Hypothalamic Neoplasms / complications
Hypothalamic Neoplasms / therapy
Inappropriate ADH Syndrome / diagnosis
Inappropriate ADH Syndrome / etiology
Inappropriate ADH Syndrome / therapy
Postoperative Complications / diagnosis
Postoperative Complications / etiology
Postoperative Complications / therapy
Renal Agents / therapeutic use
Sodium / administration & dosage

Substances

Renal Agents
Sodium
Deamino Arginine Vasopressin