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Type: Artigo de periódico
Title: Syndromes related to sodium and arginine vasopressin alterations in post-operative neurosurgery
Author: Cardoso, APD
Dragosavac, D
Araujo, S
Falcao, ALE
Terzi, RGG
de Castro, M
Marcondes, FG
Melo, TG
Oliveira, RARA
Cintra, EA
Abstract: Background: Cerebral salt wasting syndrome (CSWS), syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diabetes insipidus (DI) are frequently found in postoperative neurosurgery. Purpose: To identify these syndromes following neurosurgery. Method: The study included 30 patients who had been submitted to tumor resection and cerebral aneurysm clipping. Sodium levels in serum and urine and urine volume were measured daily up to the 5(th) day following surgery. Plasma arginine vasopressin (AVP) was measured on the first, third and fifth days post-surgery. Results:CSWS was found in 27/30 patients (90%), in 14 (46.7%) of whom it was associated with a reduction in the levels of plasma AVP (mix syndrome). SIADH was found in 3/30 patients (10%). There was no difference between the two groups of patients. Conclusion: CSWS was the most common syndrome found, and in half the cases it was associated with DI. SIADH was the least frequent syndrome found.
Subject: cerebral salt wasting syndrome
syndrome of inappropriate antidiuretic hormone secretion
diabetes insipidus
mixed syndrome
Country: Brasil
Editor: Assoc Arquivos Neuro- Psiquiatria
Citation: Arquivos De Neuro-psiquiatria. Assoc Arquivos Neuro- Psiquiatria, v. 65, n. 3B, n. 745, n. 751, 2007.
Rights: aberto
Identifier DOI: 10.1590/S0004-282X2007000500003
Date Issue: 2007
Appears in Collections:Unicamp - Artigos e Outros Documentos

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