title: [Serum hyposomolarity, brain edema and the bulbar brain syndrome as complications in the course of severe cranio-cerebral injuries in children].
abstract: It is reported on a severe craniocerebral trauma in a child with a rarely occurring spontaneously induced serum hypoosmolality which led to brain edema combined with intracranial increase of pressure and bulbar brain syndrome. By means of bedside brain ventricle catheterization for liquor drainage following drill-hole trepanation, the complication could be controlled. Later the recovery was completed under supervision of the outpatient department. Pathophysiological metabolic peculiarities, especially osmolality, are discussed. The necessity of special and repeated controls of the metabolic characteristics osmolality, sodium and potassium in serum and urine as well as the water and sodium balance within 24 hours is emphasized.
authors.affiliation: Klinik für Anaesthesie und Intensivtherapie, Bezirkskrankenhaus Suhl.
authors.forename: L
authors.initials: L
authors.lastname: Lieb
authors.forename: G
authors.initials: G
authors.lastname: Franke
authors.forename: E
authors.initials: E
authors.lastname: Machatschek
mesh_terms: D001929:Brain Edema / Q000209:etiology*; D001930:Brain Injuries / Q000097:blood / Q000150:complications* / Q000473:pathology; D002675:Child, Preschool; D006801:Humans; D008526:Medulla Oblongata / Q000473:pathology*; D009994:Osmolar Concentration
vernacular_title: Serumhypoosmolalität, Hirnödem und Bulbärhirnsyndrom als Verlaufskomplikation beim schweren kindlichen Schädel-Hirn-Trauma.