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VOLUME 9 , ISSUE 1 ( January, 2005 ) > List of Articles

REVIEW ARTICLE

Hyponatremia in neurological diseases in ICU

Rahul Lath

Keywords : CSWS, Hyponatremia, Neurological Disorders, SIADH

Citation Information : Lath R. Hyponatremia in neurological diseases in ICU. Indian J Crit Care Med 2005; 9 (1):47-51.

DOI: 10.4103/0972-5229.16270

License: CC BY-ND 3.0

Published Online: 01-01-2005

Copyright Statement:  Copyright © 2005; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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