Symptomatische Hyponatriämie bei einer 43-Jährigen nach Skiunfall mit Kopftrauma

Translated title of the contribution: Symptomatic hyponatremia in a 43-year-old woman after a skiing accident with head injuries

M. Kächele, R. van Erp, K. Schmid, L. Bettac, M. Wagner, B. Schröppel

Research output: Contribution to journalArticlepeer-review

Abstract

This article reports the case of a 43-year-old woman who presented to the emergency room with headache and paresthesia after a fall on the head while skiing. She had clinical signs of volume depletion and blood test showed severe hyponatremia. Cerebral imaging was unremarkable. The diagnosis of cerebral salt-wasting syndrome (CSWS) was made, which is defined by the presence of extracellular volume depletion due to a tubular defect in renal sodium transport in patients with normal adrenal and thyroid function. The disease is mostly secondary to a neurological disease or head trauma. The patient rapidly improved after volume therapy and treatment with mineralocorticoids. The differentiation of CSWS from the syndrome of inappropriate antidiuretic hormone (SIADH) secretion can be challenging but the distinction is important because treatment options are very different.

Translated title of the contributionSymptomatic hyponatremia in a 43-year-old woman after a skiing accident with head injuries
Original languageGerman
Pages (from-to)91-95
Number of pages5
JournalDer Internist
Volume61
Issue number1
DOIs
StatePublished - 1 Jan 2020
Externally publishedYes

Keywords

  • Cerebral salt wasting
  • Electrolytes
  • Fluid therapy
  • Hypophosphatemia
  • Syndrome of inappropriate antidiuretic hormone secretion

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