Cerebral salt wasting treated with fludrocortisone in a 17-year-old boy
Min Jeong Choi ; Yoon Su Oh ; Jae Il Shin ; Ji Hong Kim ; Se Jin Park
Yonsei Medical Journal, Vol.53(4) : 859~862, 2012
Yonsei Medical Journal
Cerebral salt wasting is characterized by inappropriate natriuresis and volume contraction with associated cerebral pathology. It is distinct from the syndrome of inappropriate antidiuretic hormone secretion, which is characterized by inappropriate retention of free water. We report a patient with a porencephalic cyst who developed cerebral salt wasting. His initial treatment was supplementation of water and salt, which did not improve natriuresis or volume contraction. Fludrocortisone administration effectively managed the cerebral salt wasting.