Indian Journal of Critical Care Medicine
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Year : 2005  |  Volume : 9  |  Issue : 1  |  Page : 47--51

Hyponatremia in neurological diseases in ICU


Department of Neurosurgery, Apollo Hospitals, Jubilee Hills, Hyderabad - 500 033, India

Correspondence Address:
Rahul Lath
Department of Neurosurgery, Apollo Hospitals, Jubilee Hills, Hyderabad - 500 033
India
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DOI: 10.4103/0972-5229.16270

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Hyponatremia is the commonest electrolyte disturbance encountered in the neurological and neurosurgical intensive care units. It can present with signs and symptoms mimicking a neurological disease and can worsen the existing neurological deficits. Hyponatremia in neurological disorders is usually of the hypo-osmolar type caused either due to the Syndrome of Inappropriate Secretion of Anti Diuretic Hormone (SIADH) or Cerebral Salt Wasting Syndrome (CSWS). It is important to distinguish between these two disorders, as the treatment of the two differ to a large extent. In SIADH, the fluid intake is restricted, whereas in CSWS the treatment involves fluid and salt replacement.






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Online since 7th April '04
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