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has been cited by the following article:

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

  AUTHORS: D. López de Lara, B. Joyanes, A. Llaneza, O. Pérez, B. Llorente, I. Runkle

  KEYWORDS: Electrolyte Disorder; Diabetes Insipidus; Cerebral Salt Wasting Syndrome; Neurosurgery

  JOURNAL NAME: Open Journal of Pediatrics, Vol.3 No.2, June 7, 2013

  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.