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KMID : 1044320220240010030
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Annals of Clinical Neurophysiology
2022 Volume.24 No. 1 p.30 ~ p.34
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Cerebral salt wasting syndrome caused by external lumbar drainage in a patient with chronic hydrocephalus
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Yoo Je-Hyun
Park Ki-Deok
Lim Oh-Kyung
Lee Ju-Kang
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Abstract
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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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KEYWORD
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Cerebral salt wasting syndrome, Hyponatremia, Hydrocephalus, External lumbar drainage, Ventriculoperitoneal shunt
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