Cerebral Salt Wasting in Status Epilepticus: Two Cases and Review of the Literature

Çelik, Tamer; Tolunay, Orkun; Tolunay, İlknur; Çelik, Ümit

doi:10.1016/j.pediatrneurol.2013.11.019

Cited by 14 publications

(23 citation statements)

References 15 publications

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“…Huang et al reported a case of tuberculous meningitis with prolonged CSWS, which improved after hydrocephalus was resolved through placement of a ventriculoperitoneal shunt [12]. C ßelik et al also emphasized the importance of relieving hydrocephalus in patients with tuberculous meningitis because it was correlated with an improvement of CSWS [13]. Drawing on previous reports and studies, we hypothesize that the level of increased ICP is crucial, rather than infectious pathogens inducing CSWS.…”

Section: Discussionmentioning

confidence: 67%

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Mycoplasma pneumoniae‐associated encephalitis complicated by cerebral salt wasting syndrome

Lin

Hung

2017

Clinical Case Reports

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Key Clinical MessageCerebral salt wasting syndrome can occur in children with encephalitis. Clinicians should be aware of hyponatremia in patients who develop polyuria with the signs of dehydration and deteriorated consciousness. Furthermore, patients who present with status epilepticus or who are suspected to have high intracranial pressure may have an increased risk of cerebral salt wasting syndrome.

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Section: Discussionmentioning

confidence: 67%

“…Our patient had status epilepticus; therefore, increased intracranial pressure was suspected. Çelik et al also reported two cases of status epilepticus with CSWS . A previous study suggested that the increases in BNP and ANP levels are triggered by epileptic stimulation .…”

Section: Discussionmentioning

confidence: 92%

Mycoplasma pneumoniae‐associated encephalitis complicated by cerebral salt wasting syndrome

Lin

Hung

2017

Clinical Case Reports

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“…To the best of our knowledge, only nine patients with SE associated with hyponatremia have been reported in the PubMed database in the past 30 years. [8][9][10][11][12][13][14][15] Characteristics of the nine reported patients and our patient are shown in Table 1. Among these 10 patients, six were male and four were female.…”

Section: Discussionmentioning

confidence: 99%

Status epilepticus during correction of hyponatremia in a patient with Alzheimer’s disease: A case report

Ichioka

Akuzawa

Takahashi

2020

SAGE Open Medical Case Reports

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An 83-year-old Japanese man with Alzheimer’s disease was admitted to our hospital for treatment of hyponatremia resulting from water intoxication. During hospitalization, the patient developed focal impaired awareness seizures, focal to bilateral tonic-clonic seizures, and subsequent status epilepticus. Electroencephalogram during focal impaired awareness seizures showed rhythmic 5–9 Hz theta activity in the right frontotemporal region. Electroencephalogram during focal to bilateral tonic-clonic seizures showed bilateral polyspikes. Electroencephalogram during an interseizure period revealed sharp waves in the right frontal region. Continuous intravenous administration of midazolam was the only effective treatment for status epilepticus. The patient died of aspiration pneumonia on day 58. Hyponatremia-associated status epilepticus is rare; in the present case, multifocal epileptogenicity resulting from Alzheimer’s disease and hyponatremia-associated elevation of glutamate levels in the synaptic cleft may have contributed to the onset of focal to bilateral tonic-clonic seizures with subsequent status epilepticus.

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“…Hyponatremia is one of the most common electrolyte problems encountered in hospitalized children. [1][2][3] Most cases are asymptomatic and are noticed by routine blood tests. To treat hyponatremia in the most appropriate way, it is necessary to determine the underlying cause.…”

Section: Introductionmentioning

confidence: 99%

Cerebral Salt-Wasting Syndrome in a Patient with Subacute Sclerosing Panencephalitis: The Use of Fludrocortisone in Treatment

Tolunay¹,

Çelik²,

Yalaki³

et al. 2019

cayd

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Cerebral salt wasting syndrome (CSWS) is characterized by natriuresis and associated with hypovolemia, and hyponatremia. The underlying pathogenesis is not clearly known. It is often confused with syndrome of inappropriate anti-diuretic hormone release. Volume repletion and sodium replenishment and correction of the underlying cause are the most important components of treatment. As the awareness of CSWS, which is frequently described in neurosurgical patient, increases, the number of patients diagnosed increases and new factors are gradually defined in the etiology. In this study, we present a 16-year-old male patient, who was followed with the diagnosis of subacute sclerosing panencephalitis and developed CSWS and did not recover from hyponatremia despite sodium replenishment, and was successfully treated with fludrocortisone.

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Cerebral Salt Wasting in Status Epilepticus: Two Cases and Review of the Literature

Cited by 14 publications

References 15 publications

Mycoplasma pneumoniae‐associated encephalitis complicated by cerebral salt wasting syndrome

Mycoplasma pneumoniae‐associated encephalitis complicated by cerebral salt wasting syndrome

Status epilepticus during correction of hyponatremia in a patient with Alzheimer’s disease: A case report

Cerebral Salt-Wasting Syndrome in a Patient with Subacute Sclerosing Panencephalitis: The Use of Fludrocortisone in Treatment

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