Cerebral salt wasting syndrome following neurosurgical intervention in tuberculous meningitis
Nagotkar, L.; Shanbag, P.; Dasarwar, N.
Indian Pediatrics 45(7): 598-601
2008
ISSN/ISBN: 0019-6061 PMID: 18695284 Document Number: 618812
Cerebral salt wasting is characterized by inappropriate natriuresis and volume contraction in the presence of cerebral pathology. Diagnosis can be difficult and therapy is challenging. We report two children with tuberculous meningitis and hydrocephalus who developed cerebral salt wasting following neurosurgical intervention. The first patient was managed with rigorous salt and water replacement whereas the second patient required the addition of fludrocortisone for control of salt-wasting.