病例报告：与正常压力脑积水相关的不当抗利尿综合征导致的低钠血症。

IF 2.7 3区医学 Q1 EMERGENCY MEDICINE

American Journal of Emergency Medicine Pub Date : 2025-04-01 DOI:10.1016/j.ajem.2025.03.063

Nicole McCoin, Samuel Marcum, Julia Martin

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引用次数: 0

摘要

低钠血症在住院患者中很常见。不适当抗利尿综合征（SIAD）是已知的低钠血症的原因，有许多不同的原因。常压脑积水相关SIAD与由此产生的低钠血症是一个鲜为人知的关联。本病例报告是一位77岁男性，已知患有正常压力性脑积水（NPH），表现为急性精神状态改变和严重低钠血症，并因其NPH而被发现患有SIAD。腰椎穿刺很快改善了他的精神错乱和低钠血症。SAID和NPH之间的关联很重要，因为治疗可能需要腰椎穿刺来改善症状。急诊医生必须了解这种联系，以帮助做出正确的诊断和指导治疗。

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Case report: Hyponatremia due to syndrome of inappropriate antidiuresis associated with normal pressure hydrocephalus.

Hyponatremia is common in hospitalized patients. Syndrome of inappropriate antidiuresis (SIAD) is a known cause of hyponatremia, with many different causes. Normal pressure hydrocephalus-related SIAD with resultant hyponatremia is a less known association. This case report is of a 77-year-old male with known normal pressure hydrocephalus (NPH) presenting with acute mental status changes and severe hyponatremia and found to have SIAD due to his NPH. A lumbar puncture quickly improved both his confusion and hyponatremia. The association between SAID and NPH is important as the management may require a lumbar puncture to improve symptoms. Emergency physicians must know this association to help make correct diagnoses and guide treatment.

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来源期刊

American Journal of Emergency Medicine 医学-急救医学

CiteScore

6.00

自引率

5.60%

发文量

730

审稿时长

42 days

期刊介绍： A distinctive blend of practicality and scholarliness makes the American Journal of Emergency Medicine a key source for information on emergency medical care. Covering all activities concerned with emergency medicine, it is the journal to turn to for information to help increase the ability to understand, recognize and treat emergency conditions. Issues contain clinical articles, case reports, review articles, editorials, international notes, book reviews and more.