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Prolonged coexi.tent central di.betes i.si.i.us and cerebral salt wasti.g syndrome followi.g neurosurgery

Open Journal of Pedi.tri.s 2013年第2期3卷 74-77页

作者： D. López de Lara B. Joyanes A. Llaneza O. Pérez B. Llorente i. runkle Department of Endocri.ology Hospital Clínico San Carlos Madrid Spain Department of Pedi.tri.s Hospital Clínico San Carlos Madrid Spain

The coexi.tence of di.ferent water homeostasi. abnormali.i.s followi.g neurosurgery represents a di.gnosti. and therapeuti. challenge for i.tensi.e care uni.s. Thi. paper reports the case of a 13 year-old boy who underwent surgery for a suprasellar tumour and, i.medi.tely after surgery, developed a cerebral abscess, persi.tent di.betes i.si.i.us (Di. as well as cerebral salt wasti.g syndrome (CSWS). The early onset of CSWS followi.g Di.has been associ.ted wi.h a poor prognosi. and i.creased mortali.y. i. cases i. whi.h these abnormali.i.s coexi.t, the i.creased polyuri. secondary to the ri.e i. natri.resi. associ.ted wi.h CSWS mi.ht be erroneously i.terpreted as a si.n of poor control of the Di. thereby leadi.g to therapeuti. mi.takes. Treatment basi.ally consi.ts of restori.g electrolytes and the joi.t admi.i.trati.n of desmopressi. and fludrocorti.one.

关键词： Electrolyte Di.order Di.betes i.si.i.us Cerebral Salt Wasti.g Syndrome Neurosurgery

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