Cerebral salt wasting treated with fludrocortisone in a 17-year-old boy.
Cerebral salt wasting is characterized by inappropriate natriuresis and volume contraction with associated cerebral pathology. It is distinct from the syndrome of inappropriate antidiuretic hormone secretion, which is characterized by inappropriate retention of free water. We report a patient with a porencephalic cyst who developed cerebral salt wasting. His initial treatment was supplementation of water and salt, which did not improve natriuresis or volume contraction. Fludrocortisone administration effectively managed the cerebral salt wasting.
The Institute of Kidney Disease, Department of Pediatrics, Yonsei University College of Medicine, Severance Children’s Hospital, Seoul, Korea.
Min Jeong
MJ
Choi
Yoon Su
YS
Oh
Se Jin
SJ
Park
Ji Hong
JH
Kim
Jae Il
JI
Shin
D000293:Adolescent; D005438:Fludrocortisone / Q000627:therapeutic use*; D006801:Humans; D007010:Hyponatremia / Q000188:drug therapy*; D008297:Male; D009318:Natriuresis / Q000502:physiology; D012965:Sodium Chloride / Q000627:therapeutic use
D012965:Sodium Chloride; D005438:Fludrocortisone