Cerebral salt wasting syndrome in the posterior fossa surgery post-operative period: Case report
Keywords:
Hyponatremia, Neurosurgery, Polyuria, Trigeminal, Neuralgia, Anesthesia
Abstract
Hyponatremia is the most common electrolyte disorder following intracranial surgery. Its aetiology is multifactorial. We present a case of a patient taken to microvascular decompression (Janetta surgery) for the treatment of trigeminal neuralgia who developed a symptomatic magnification of basal hyponatremia in the immediate post-operative period. Cerebral salt wasting syndrome was diagnosed. The management of this condition poses a challenge for physicians involved in postoperative neurosurgical care.
References
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2. Katusic S, Williams DB, Beard CM, Bergstralh EJ, Kurland LT. Epidemiology and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgia: similarities and differences, Rochester, Minnesota, 1945-1984. Neuroepidemiology. 1991;10:276-81.
3. Rivas G, Pacreu Terradas S, Garcia Aranda S, Fernández Galinski S. Variation in the bispectral index during the Jannetta technique. Rev Esp Anestesiol Reanim. 2012;59:459-60.
4. Czepko R, Kwinta B, Libionka W, Pietraszko W. Direct and late outcome in trigeminal neuralgia treated by means of microvascular decompression in cerebellopontine angle. Przegl Lek. 2003;60:621-4.
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8. Ruiz-Juretschke F, Arístegui M, García-Leal R, Fernández-Carballal C, Lowy A, Martin-Oviedo C, et al. Cerebral salt wasting syndrome: postoperative complication in tumours of the cerebellopontine angle. Neurocirugia. 2012;23:40-3.
9. Kim YS, Kim DW, Jung KH, Lee ST, Kang BS, Byun JI, et al. Frequency of and risk factors for oxcarbazepine-induced severe and symptomatic hyponatremia. Seizure. 2014;23:208-12.
10. Espino Díaz I, Ramos-Ríos R, Arauxo Vilar A, Paz Silva E. Hiponatremia por oxcarbamacepina. Psiquitr Biol. 2009;16:38-41.
11. Smith PME. Clinical recommendations for oxcarbazepine. Seizure. 2001;10:87-91.
12. García-Criado EI, Díaz Aguilar CM, Martín-Rioboó E, Ruiz Moruno FJ. Hiponatremia secundaria a oxcarbazepina. Semergen. 2010;36:351-4.
13. Escudero Teixidó A, Rincón Párraga R, Busquets Bonet J, Mases Fernández A, Llubiá Maristany C, Canet Capeta J. Polyuria as postoperative complication of frontal meningioma. Rev Esp Anestesiol Reanim. 2003;50:37-41.
14. Carbajal-Rodríguez L, Reynes-Manzur JN, Zarco-Román J, Luna FMA, Reyes-Gómez U. Síndrome cerebral perdedor de sal como diagnóstico diferencial del síndrome de secreción inadecuada de hormona antidiurética. Informe de un caso. Rev Mex Pediatr. 2000;67.
15. Maesaka JK, Gupta S, Fishbane S. Cereb ral salt-wasting syndrome: does it exist? Nephron. 1999;82:100-9.
16. Carrascosa AJ, Salcedo E, Gallego ME, Bermúdez JL, Yuste JA, Lledó G. Hiponatremia en el postoperatorio de la patología tumoral neuroquirúrgica. Rev Esp Anestesiol Reanim. 1999;46:40-4.
17. Harrigan MR. Cerebral salt wasting syndrome. Crit Care Clin. 2001;1:125-38.
2. Katusic S, Williams DB, Beard CM, Bergstralh EJ, Kurland LT. Epidemiology and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgia: similarities and differences, Rochester, Minnesota, 1945-1984. Neuroepidemiology. 1991;10:276-81.
3. Rivas G, Pacreu Terradas S, Garcia Aranda S, Fernández Galinski S. Variation in the bispectral index during the Jannetta technique. Rev Esp Anestesiol Reanim. 2012;59:459-60.
4. Czepko R, Kwinta B, Libionka W, Pietraszko W. Direct and late outcome in trigeminal neuralgia treated by means of microvascular decompression in cerebellopontine angle. Przegl Lek. 2003;60:621-4.
5. Love S, Gradidge T, Coakham HB. Trigeminal neuralgia due to multiple sclerosis: ultrastructural findings in trigeminal rhizotomy specimens. Neuropathol Appl Neurobiol. 2001;27:238-44.
6. Love S, Hilton DA, Coakham HB. Central demyelination of the Vth nerve root in trigeminal neuralgia associated with vascular compression. Brain Pathol. 1998;8:1-11.
7. Cohen-Gadol AA. Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: nuances of the technique based on experiences with 100 patients and review of the literature. Clin Neurol Neurosurg. 2011;113:844-53.
8. Ruiz-Juretschke F, Arístegui M, García-Leal R, Fernández-Carballal C, Lowy A, Martin-Oviedo C, et al. Cerebral salt wasting syndrome: postoperative complication in tumours of the cerebellopontine angle. Neurocirugia. 2012;23:40-3.
9. Kim YS, Kim DW, Jung KH, Lee ST, Kang BS, Byun JI, et al. Frequency of and risk factors for oxcarbazepine-induced severe and symptomatic hyponatremia. Seizure. 2014;23:208-12.
10. Espino Díaz I, Ramos-Ríos R, Arauxo Vilar A, Paz Silva E. Hiponatremia por oxcarbamacepina. Psiquitr Biol. 2009;16:38-41.
11. Smith PME. Clinical recommendations for oxcarbazepine. Seizure. 2001;10:87-91.
12. García-Criado EI, Díaz Aguilar CM, Martín-Rioboó E, Ruiz Moruno FJ. Hiponatremia secundaria a oxcarbazepina. Semergen. 2010;36:351-4.
13. Escudero Teixidó A, Rincón Párraga R, Busquets Bonet J, Mases Fernández A, Llubiá Maristany C, Canet Capeta J. Polyuria as postoperative complication of frontal meningioma. Rev Esp Anestesiol Reanim. 2003;50:37-41.
14. Carbajal-Rodríguez L, Reynes-Manzur JN, Zarco-Román J, Luna FMA, Reyes-Gómez U. Síndrome cerebral perdedor de sal como diagnóstico diferencial del síndrome de secreción inadecuada de hormona antidiurética. Informe de un caso. Rev Mex Pediatr. 2000;67.
15. Maesaka JK, Gupta S, Fishbane S. Cereb ral salt-wasting syndrome: does it exist? Nephron. 1999;82:100-9.
16. Carrascosa AJ, Salcedo E, Gallego ME, Bermúdez JL, Yuste JA, Lledó G. Hiponatremia en el postoperatorio de la patología tumoral neuroquirúrgica. Rev Esp Anestesiol Reanim. 1999;46:40-4.
17. Harrigan MR. Cerebral salt wasting syndrome. Crit Care Clin. 2001;1:125-38.
How to Cite
1.
Guerrero-Domínguez R, González-González G, Acosta-Martínez J, Rubio-Romero R, Jiménez I. Cerebral salt wasting syndrome in the posterior fossa surgery post-operative period: Case report. Colomb. J. Anesthesiol. [Internet]. 2015 Jul. 1 [cited 2024 Apr. 24];43(Supplement):61-4. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/740
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Published
2015-07-01
How to Cite
1.
Guerrero-Domínguez R, González-González G, Acosta-Martínez J, Rubio-Romero R, Jiménez I. Cerebral salt wasting syndrome in the posterior fossa surgery post-operative period: Case report. Colomb. J. Anesthesiol. [Internet]. 2015 Jul. 1 [cited 2024 Apr. 24];43(Supplement):61-4. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/740
Section
Case Report / Case Series
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