Unusual complication in a child with lightning strike: cerebral salt wasting

Orbak, Zerrin; Kara, İlknur Sürücü

doi:10.1007/s00381-010-1175-1

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…They also described an 80-year-old man with pneumonia and hyponatremia who had RSW based on different biochemical responses to a saline infusion and water loading test than those seen in patients with SIAD [18]. RSW without cerebral disease has been described in a 9-year-old girl following a lightning strike, so RSW without cerebral disease does also appear to occur in children [19]. These studies and numerous similar case reports describing hyponatremic patients with a natriuresis in the presence of clinical evidence of volume depletion establish CSW as a distinct clinical entity separate from SIAD [20].…”

Section: Cerebral Salt-wasting Syndromementioning

confidence: 99%

Syndrome of inappropriate antidiuresis and cerebral salt wasting syndrome: are they different and does it matter?

Moritz

2012

Pediatr Nephrol

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Section: Cerebral Salt-wasting Syndromementioning

confidence: 99%

Syndrome of inappropriate antidiuresis and cerebral salt wasting syndrome: are they different and does it matter?

Moritz

2012

Pediatr Nephrol

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Klinische Medizin

Zack

2023

Unfälle Durch Blitzschlag

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Renal salt-wasting syndrome in children with intracranial disorders

Bettinelli¹,

Longoni²,

Tammaro³

et al. 2012

Pediatr Nephrol

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Hypotonic hyponatremia, a serious and recognized complication of any intracranial disorder, results from extra-cellular fluid volume depletion, inappropriate anti-diuresis or renal salt-wasting. The putative mechanisms by which intracranial disorders might lead to renal salt-wasting are either a disrupted neural input to the kidney or the elaboration of a circulating natriuretic factor. The key to diagnosis of renal salt-wasting lies in the assessment of extra-cellular volume status: the central venous pressure is currently considered the yardstick for measuring fluid volume status in subjects with intracranial disorders and hyponatremia. Approximately 110 cases have been reported so far in subjects ≤18 years of age (male: 63%; female: 37%): intracranial surgery, meningo-encephalitis (most frequently tuberculous) or head injury were the most common underlying disorders. Volume and sodium repletion are the goals of treatment, and this can be performed using some combination of isotonic saline, hypertonic saline, and mineralocorticoids (fludrocortisone). It is worthy of a mention, however, that some authorities contend that cerebral salt wasting syndrome does not exist, since this diagnosis requires evidence of a reduced arterial blood volume, a concept but not a measurable variable.

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Unusual complication in a child with lightning strike: cerebral salt wasting

Abstract: Several case reports have presented various neurological complications caused by lightning. However, there was no report related to cerebral salt wasting caused by lightning injury. We described a patient with lightning strike, who was subsequently diagnosed with cerebral salt wasting.

Cited by 5 publications

References 9 publications

Syndrome of inappropriate antidiuresis and cerebral salt wasting syndrome: are they different and does it matter?

Syndrome of inappropriate antidiuresis and cerebral salt wasting syndrome: are they different and does it matter?

Klinische Medizin

Renal salt-wasting syndrome in children with intracranial disorders

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