title: [A case of acute limbic encephalitis with cerebral salt wasting syndrome].
abstract: A 37-year-old woman presented with psychiatric symptoms. Cerebrospinal fluid analysis revealed pleocytosis and increased protein. The patient was diagnosed with limbic encephalitis on the basis of the clinical course. However, remarkable hyponatremia was noted throughout the clinical course, leading to a diagnosis of cerebral salt wasting syndrome (CSWS). The hyponatremia was alleviated by supplementation with sodium and water. The findings seen in this case indicate that differentiation between syndrome of inappropriate of antidiuretic hormone and CSWS is important in cases of hyponatremia accompanied by central nervous system disease.
authors.affiliation: Department of Neurology, Bell Land General Hospital.
authors.forename: Motonobu
authors.initials: M
authors.lastname: Nishio
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Nishitani
authors.forename: Keiko
authors.initials: K
authors.lastname: Tanaka
mesh_terms: D000208:Acute Disease; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D007964:Leukocytosis / Q000209:etiology; D020363:Limbic Encephalitis / Q000150:complications* / Q000175:diagnosis; D001523:Mental Disorders / Q000209:etiology; D047748:Pituitary ACTH Hypersecretion; D012964:Sodium / Q000008:administration & dosage; D013577:Syndrome; D014867:Water / Q000008:administration & dosage
chemical_list: D014867:Water; D012964:Sodium