Cerebral salt wasting syndrome in the posterior fossa surgery post‐operative period: Case report☆. (2015)

• Record Type: Journal Article
• Authors: Guerrero‐Domínguez, Rosana; González‐González, Gemma; Acosta‐Martínez, Jesús; Rubio‐Romero, Rafael; Jiménez, Ignacio
• Is Part Of: Colombian journal of anesthesiology. Volume 43:Supplement 1(2015)
• Publication Date: 2015
• Subjects: Hyponatremia -- Neurosurgery -- Polyuria -- Trigeminal Neuralgia -- Anesthesia; Hiponatremia -- Neurocirugía -- Poliuria -- Neuralgia del Trigémino -- Anestesia; Anesthesiology -- Periodicals; Anesthesiology -- Colombia -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology; Colombia; Periodicals
• Languages: English
• ISSNs: 2256-2087

Abstract

Abstract : ABSTRACT : Hyponatremia is the most common electrolyte disorder following intracranial surgery. Its aetiology is multifactorial. We present a case of a patient taken to microvascular decompression (Janetta surgery) for the treatment of trigeminal neuralgia who developed a symptomatic magnification of basal hyponatremia in the immediate post‐operative period. Cerebral salt wasting syndrome was diagnosed. The management of this condition poses a challenge for physicians involved in postoperative neurosurgical care. Abstract : RESUMEN : La hiponatremia es el trastorno electrolítico más frecuente después de la cirugía intracraneal. Su etiología es multifactorial. A continuación presentamos un caso de un paciente sometido a una descompresión microvascular (cirugía de Janetta) como tratamiento de la neuralgia del trigémino que en el postoperatorio inmediato desarrolló una magnificación sintomática de su hiponatremia basal. Se diagnosticó un síndrome pierde sal cuyo manejo supone un reto para los médicos implicados en los cuidados neuroquirúrgicos postoperatorios.