脑盐消耗综合征与癫痫持续状态相关。

Jung-Ju Lee
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引用次数: 0

摘要

脑盐消耗综合征(CSWS)被定义为脑疾病引起低钠血症和细胞外液容量损失的肾脏钠流失。类似的实验室结果也可见于其他情况,如抗利尿激素分泌不当综合征(SIADH)。一名58岁男性患者因睡眠中突然发作而来急诊科就诊。磁共振成像显示右侧海马弥散加权成像呈微弱高信号。和谐区有节律性放电。金属状态改变、多尿和实验室检查结果包括低钠血症与CSWS一致。补液补盐后,患者精神状态和低钠血症逐渐恢复。为了诊断CSWS,细致的身体检查包括体液平衡分析是必不可少的。低钠血症和多尿患者应考虑CSWS。CSWS和SIADH的准确诊断至关重要,因为这两种疾病的治疗方案完全不同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Cerebral Salt Wasting Syndrome Associated with Status Epilepticus.

Cerebral Salt Wasting Syndrome Associated with Status Epilepticus.

Cerebral Salt Wasting Syndrome Associated with Status Epilepticus.

Cerebral salt wasting syndrome (CSWS) is defined as a renal loss of sodium in cerebral disorders causing hyponatremia and loss of extracellular fluid volume. Similar laboratory findings may be seen in other conditions such as syndrome of inappropriate antidiuretic hormone secretion (SIADH). A 58-year-old male visited our emergency department because of the sudden development of seizures during sleep. Magnetic resonance imaging revealed subtle high signal intensity in the right hippocampus on diffusion-weighted imaging. Ictal rhythmic discharges were observed in the concordant area. Altered metal status, polyuria and laboratory test findings including hyponatremia were compatible with CSWS. After hydration and salt replacement, his mental state and hyponatremia gradually recovered. For diagnosing CSWS, meticulous physical examinations including analysis of fluid balance are essential. CSWS should be considered in patients with hyponatremia and polyuria. Accurate diagnosis of CSWS and SIADH is crucial as the treatment plans for these two conditions are completely different.

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