Hyponatremia following a cerebral abscess: cerebral salt wasting syndrome or syndrome of inappropriate anti-diuretic hormone secretion?
Infectious Diseases and Tropical Medicine 2017; 3 (1): e362
Topic: Clinical pathology
Category: Case report
Abstract
Cerebral Salt Wasting Syndrome (CSWS) and Syndrome of Inappropriate Anti-Diuretic Hormone Secretion (SIADH) are rare causes of hyponatremia during cerebral disorders. It is important to correctly differentiate between the two syndromes to determine the right therapeutic path.
We present a case of SIADH secondary to a cerebral abscess in a patient with chronic sinusitis who underwent an endovascular cerebral procedure for the treatment of a giant saccular internal carotid artery aneurysm. His hyponatremia responded to sodium supplementation, raising doubts about the diagnosis.
Application of the Maesaka’s algorithm is a useful tool to determine the right diagnosis.
We present a case of SIADH secondary to a cerebral abscess in a patient with chronic sinusitis who underwent an endovascular cerebral procedure for the treatment of a giant saccular internal carotid artery aneurysm. His hyponatremia responded to sodium supplementation, raising doubts about the diagnosis.
Application of the Maesaka’s algorithm is a useful tool to determine the right diagnosis.
To cite this article
Hyponatremia following a cerebral abscess: cerebral salt wasting syndrome or syndrome of inappropriate anti-diuretic hormone secretion?
Infectious Diseases and Tropical Medicine 2017; 3 (1): e362
Publication History
Submission date: 10 Mar 2017
Revised on: 14 Mar 2017
Accepted on: 28 Mar 2017
Published online: 05 Apr 2017
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