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KMID : 1214920170230020115
Soonchunhyang Medical Science
2017 Volume.23 No. 2 p.115 ~ p.117
A Case of Cerebral Salt Wasting Syndrome in Neuromyelitis Optica Spectrum Disorder
Paek Young-Min

Lee Jae-Jung
Song Pamela
Park Hee-Kyung
Cho Joong-Yang
Abstract
Neuromyelitis optica spectrum disorder (NMOSD) may present with area postrema syndrome, which is characterized by intractable vomiting and hiccups. Hyponatremia is common in NMOSD and is mostly associated with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). In contrast to SIADH, cerebral salt wasting syndrome (CSWS) causes hyponatremia, which is associated with severe natriuresis and extracellular volume depletion in patients with cerebral disease. To our knowledge, hyponatremia associated with CSWS has not been reported in a patient with NMOSD. Here, we describe a NMOSD presenting with hyponatremia, which may be caused by CSWS following area postrema syndrome.
KEYWORD
Cerebral salt wasting syndrome, Neuromyelitis optica, Intractable vomiting, Hyponatremia
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