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Prolonged coexistent central diabetes insipidus and cerebral salt wasting syndrome following neurosurgery

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DOI: 10.4236/ojped.2013.32014    3,819 Downloads   5,939 Views   Citations

ABSTRACT

The coexistence of different water homeostasis abnormalities following neurosurgery represents a diagnostic and therapeutic challenge for intensive care units. This paper reports the case of a 13 year-old boy who underwent surgery for a suprasellar tumour and, immediately after surgery, developed a cerebral abscess, persistent diabetes insipidus (DI) as well as cerebral salt wasting syndrome (CSWS). The early onset of CSWS following DI has been associated with a poor prognosis and increased mortality. In cases in which these abnormalities coexist, the increased polyuria secondary to the rise in natriuresis associated with CSWS might be erroneously interpreted as a sign of poor control of the DI, thereby leading to therapeutic mistakes. Treatment basically consists of restoring electrolytes and the joint administration of desmopressin and fludrocortisone.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Lara, D. , Joyanes, B. , Llaneza, A. , Pérez, O. , Llorente, B. and Runkle, I. (2013) Prolonged coexistent central diabetes insipidus and cerebral salt wasting syndrome following neurosurgery. Open Journal of Pediatrics, 3, 74-77. doi: 10.4236/ojped.2013.32014.

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