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Hyponatremia in neurological diseases in ICU

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Author(s): Lath Rahul

Journal: Indian Journal of Critical Care Medicine
ISSN 0972-5229

Volume: 9;
Issue: 1;
Start page: 47;
Date: 2005;
Original page

Keywords: CSWS | Hyponatremia | Neurological Disorders | SIADH

ABSTRACT
Hyponatremia is the commonest electrolyte disturbance encountered in the neurological and neurosurgical intensive care units. It can present with signs and symptoms mimicking a neurological disease and can worsen the existing neurological deficits. Hyponatremia in neurological disorders is usually of the hypo-osmolar type caused either due to the Syndrome of Inappropriate Secretion of Anti Diuretic Hormone (SIADH) or Cerebral Salt Wasting Syndrome (CSWS). It is important to distinguish between these two disorders, as the treatment of the two differ to a large extent. In SIADH, the fluid intake is restricted, whereas in CSWS the treatment involves fluid and salt replacement.
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