title: Cerebral salt wasting in a postoperative period.
abstract: Cerebral salt wasting syndrome (CSW-cerebral salt wasting) was first described in 1950 by Peters. This syndrome can occur in patients who have sustained damage to the central nervous system (e.g. patients with subarachnoid bleeding, bacterial meningitis or after neurosurgery). Patients present with excessive natriuresis and hyponatremic dehydration. Differentiating this syndrome with the syndrome of inappropriate antidiuretic hormone secretion (SIADH-syndrome of inappropriate antidiuretic hormone secretion), which may occur in the same group of patients, is necessary in order to administer the correct treatment which consists of fluid restriction and sodium replacement in SIADH and fluid and sodium replacement as well as occasional mineralocorticoid therapy in CSW.
authors.affiliation: Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Dominika
authors.initials: D
authors.lastname: Janus
authors.affiliation: Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Malgorzata
authors.initials: M
authors.lastname: Wojcik
authors.affiliation: Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Dolezal-Oltarzewska
authors.affiliation: Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Kalicka-Kasperczyk
authors.affiliation: Department of Pediatrics, Chair of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Karolina
authors.initials: K
authors.lastname: Poplawska
authors.affiliation: Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Jerzy B
authors.initials: JB
authors.lastname: Starzyk
mesh_terms: D000328:Adult; D054022:Cerebrum / Q000378:metabolism* / Q000601:surgery; D003919:Diabetes Insipidus / Q000097:blood* / Q000652:urine; D003937:Diagnosis, Differential; D006801:Humans; D007010:Hyponatremia / Q000097:blood* / Q000652:urine; D007431:Intraoperative Complications; D011183:Postoperative Complications / Q000097:blood* / Q000652:urine; D011184:Postoperative Period; D012964:Sodium / Q000097:blood* / Q000652:urine; D013577:Syndrome; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D012964:Sodium