Artículos de revistas
Syndromes related to sodium and arginine vasopressin alterations in post-operative neurosurgery
Registro en:
Arquivos De Neuro-psiquiatria. Assoc Arquivos Neuro- Psiquiatria, v. 65, n. 3B, n. 745, n. 751, 2007.
0004-282X
WOS:000250172600003
10.1590/S0004-282X2007000500003
Autor
Cardoso, APD
Dragosavac, D
Araujo, S
Falcao, ALE
Terzi, RGG
de Castro, M
Marcondes, FG
Melo, TG
Oliveira, RARA
Cintra, EA
Institución
Resumen
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. 65 3B 745 751
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