KMID : 1214920170230020115
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Soonchunhyang Medical Science 2017 Volume.23 No. 2 p.115 ~ p.117
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A Case of Cerebral Salt Wasting Syndrome in Neuromyelitis Optica Spectrum Disorder
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Paek Young-Min
Lee Jae-Jung Song Pamela Park Hee-Kyung Cho Joong-Yang
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Abstract
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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.
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KEYWORD
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Cerebral salt wasting syndrome, Neuromyelitis optica, Intractable vomiting, Hyponatremia
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