The role of fludrocortisone in a child with cerebral salt wasting

被引:46
作者
Sakarcan, A [1 ]
Bocchini, J [1 ]
机构
[1] Louisiana State Univ, Med Ctr, Dept Pediat, Shreveport, LA 71130 USA
关键词
cerebral salt wasting; hyponatremia; tuberculous meningitis; fludrocortisone;
D O I
10.1007/s004670050543
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Cerebral salt wasting (CSW) is a syndrome of hyponatremia due to excessive natriuresis described in patients with central nervous system insult. We present a 29-month-old black male with tuberculous meningitis who developed CSW with depressed mineralocorticoid activity. The patient required hypertonic saline and ionotropic support. Mineralocorticoid supplementation effectively treated CSW.
引用
收藏
页码:769 / 771
页数:3
相关论文
共 13 条
[1]   PHYSIOLOGY OF NATRIURETIC PEPTIDES [J].
ESPINER, EA .
JOURNAL OF INTERNAL MEDICINE, 1994, 235 (06) :527-541
[2]   CEREBRAL SALT WASTING IN CHILDREN - THE NEED FOR RECOGNITION AND TREATMENT [J].
GANONG, CA ;
KAPPY, MS .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1993, 147 (02) :167-169
[3]   ATRIAL NATRIURETIC FACTOR SUPPRESSES NEURAL STIMULATION OF RENIN RELEASE IN DOGS [J].
HISA, H ;
TOMURA, Y ;
SATOH, S .
AMERICAN JOURNAL OF PHYSIOLOGY, 1989, 257 (03) :E332-E335
[4]   HYPONATREMIA RESPONSIVE TO FLUOROCORTISONE ACETATE IN ELDERLY PATIENTS AFTER HEAD-INJURY [J].
ISHIKAWA, SE ;
SAITO, T ;
KANEKO, K ;
OKADA, K ;
KUZUYA, T .
ANNALS OF INTERNAL MEDICINE, 1987, 106 (02) :187-191
[5]  
Kappy M S, 1996, Adv Pediatr, V43, P271
[6]  
Morinaga K, 1994, No To Shinkei, V46, P545
[7]   HYPONATREMIC NATRIURETIC SYNDROME IN TUBERCULOUS MENINGITIS - THE PROBABLE ROLE OF ATRIAL-NATRIURETIC-PEPTIDE [J].
NAROTAM, PK ;
KEMP, M ;
BUCK, R ;
GOUWS, E ;
VANDELLEN, JR ;
BHOOLA, KD .
NEUROSURGERY, 1994, 34 (06) :982-988
[8]   ATRIAL AND BRAIN NATRIURETIC PEPTIDE IN ADRENAL STEROIDOGENESIS [J].
NAWATA, H ;
OHASHI, M ;
HAJI, M ;
TAKAYANAGI, R ;
HIGUCHI, K ;
FUJIO, N ;
HASHIGUCHI, T ;
OGO, A ;
NAKAO, R ;
OHNAKA, K ;
NISHI, Y .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 1991, 40 (1-3) :367-379
[9]   HYPONATREMIA IN INTRA-CRANICAL DISEASE - PERHAPS NOT THE SYNDROME OF INAPPROPRIATE SECRETION OF ANTI-DIURETIC HORMONE (SIADH) [J].
NELSON, PB ;
SEIF, SM ;
MAROON, JC ;
ROBINSON, AG .
JOURNAL OF NEUROSURGERY, 1981, 55 (06) :938-941
[10]  
RAPOPORT S, 1951, J LAB CLIN MED, P550