Cerebral salt wasting syndrome: Review

M. Cerdà-Esteve; E. Cuadrado-Godia; J. J. Chillaron; C. Pont-Sunyer; G. Cucurella; M. Fernández; A. Goday; J. F. Cano-Pérez; A. Rodríguez-Campello; J. Roquer

doi:10.1016/j.ejim.2007.06.019

Cerebral salt wasting syndrome: Review

M. Cerdà-Esteve, E. Cuadrado-Godia, J. J. Chillaron, C. Pont-Sunyer, G. Cucurella, M. Fernández, A. Goday, J. F. Cano-Pérez, A. Rodríguez-Campello, J. Roquer

Research output: Contribution to journal › Review article › Research › peer-review

80 Citations (Scopus)

Abstract

Hyponatremia is the most frequent electrolyte disorder in critically neurological patients. Cerebral salt wasting syndrome (CSW) is defined as a renal loss of sodium during intracranial disease leading to hyponatremia and a decrease in extracellular fluid volume. The pathogenesis of this disorder is still not completely understood. Sympathetic responses as well as some natriuretic factors play a role in this syndrome. Distinction between SIADH and CSW might be difficult. The essential point is the volemic state. It is necessary to rule out other intermediate causes. Treatment requires volume replacement and maintenance of a positive salt balance. Mineral corticoids may be useful in complicated cases. © 2008 European Federation of Internal Medicine.

Original language	English
Pages (from-to)	249-254
Journal	European Journal of Internal Medicine
Volume	19
Issue number	4
DOIs	https://doi.org/10.1016/j.ejim.2007.06.019
Publication status	Published - 1 Jun 2008

Keywords

Cerebral
Hyponatremia
Inappropriate ADH syndrome
Salt
Wasting

Access to Document

10.1016/j.ejim.2007.06.019

Cite this

@article{c8892e534f1f4db7afc184db71e9f3f3,

title = "Cerebral salt wasting syndrome: Review",

abstract = "Hyponatremia is the most frequent electrolyte disorder in critically neurological patients. Cerebral salt wasting syndrome (CSW) is defined as a renal loss of sodium during intracranial disease leading to hyponatremia and a decrease in extracellular fluid volume. The pathogenesis of this disorder is still not completely understood. Sympathetic responses as well as some natriuretic factors play a role in this syndrome. Distinction between SIADH and CSW might be difficult. The essential point is the volemic state. It is necessary to rule out other intermediate causes. Treatment requires volume replacement and maintenance of a positive salt balance. Mineral corticoids may be useful in complicated cases. {\textcopyright} 2008 European Federation of Internal Medicine.",

keywords = "Cerebral, Hyponatremia, Inappropriate ADH syndrome, Salt, Wasting",

author = "M. Cerd{\`a}-Esteve and E. Cuadrado-Godia and Chillaron, {J. J.} and C. Pont-Sunyer and G. Cucurella and M. Fern{\'a}ndez and A. Goday and Cano-P{\'e}rez, {J. F.} and A. Rodr{\'i}guez-Campello and J. Roquer",

year = "2008",

month = jun,

day = "1",

doi = "10.1016/j.ejim.2007.06.019",

language = "English",

volume = "19",

pages = "249--254",

journal = "European Journal of Internal Medicine",

issn = "0953-6205",

publisher = "Elsevier",

number = "4",

}

TY - JOUR

T1 - Cerebral salt wasting syndrome: Review

AU - Cerdà-Esteve, M.

AU - Cuadrado-Godia, E.

AU - Chillaron, J. J.

AU - Pont-Sunyer, C.

AU - Cucurella, G.

AU - Fernández, M.

AU - Goday, A.

AU - Cano-Pérez, J. F.

AU - Rodríguez-Campello, A.

AU - Roquer, J.

PY - 2008/6/1

Y1 - 2008/6/1

N2 - Hyponatremia is the most frequent electrolyte disorder in critically neurological patients. Cerebral salt wasting syndrome (CSW) is defined as a renal loss of sodium during intracranial disease leading to hyponatremia and a decrease in extracellular fluid volume. The pathogenesis of this disorder is still not completely understood. Sympathetic responses as well as some natriuretic factors play a role in this syndrome. Distinction between SIADH and CSW might be difficult. The essential point is the volemic state. It is necessary to rule out other intermediate causes. Treatment requires volume replacement and maintenance of a positive salt balance. Mineral corticoids may be useful in complicated cases. © 2008 European Federation of Internal Medicine.

AB - Hyponatremia is the most frequent electrolyte disorder in critically neurological patients. Cerebral salt wasting syndrome (CSW) is defined as a renal loss of sodium during intracranial disease leading to hyponatremia and a decrease in extracellular fluid volume. The pathogenesis of this disorder is still not completely understood. Sympathetic responses as well as some natriuretic factors play a role in this syndrome. Distinction between SIADH and CSW might be difficult. The essential point is the volemic state. It is necessary to rule out other intermediate causes. Treatment requires volume replacement and maintenance of a positive salt balance. Mineral corticoids may be useful in complicated cases. © 2008 European Federation of Internal Medicine.

KW - Cerebral

KW - Hyponatremia

KW - Inappropriate ADH syndrome

KW - Salt

KW - Wasting

U2 - 10.1016/j.ejim.2007.06.019

DO - 10.1016/j.ejim.2007.06.019

M3 - Review article

SN - 0953-6205

VL - 19

SP - 249

EP - 254

JO - European Journal of Internal Medicine

JF - European Journal of Internal Medicine

IS - 4

ER -

Cerebral salt wasting syndrome: Review

Abstract

Keywords

Access to Document

Fingerprint

Cite this