CC-BY-NC-ND 4.0 · J Clin Interv Radiol ISVIR 2018; 02(01): 051-054
DOI: 10.1055/s-0037-1609047
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Cerebral Salt-Wasting Syndrome in Subarachnoid Hemorrhage: A Primer for Interventional Neuroradiologists

Adhithyan Rajendran
1  Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Santhosh Kumar Kannath
2  Neurointervention Center, Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Smitha Vimala
3  Department of Neuro-anaesthesia, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Jayadevan Enakshy Rajan
2  Neurointervention Center, Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
› Author Affiliations
Further Information

Publication History

Received: 28 August 2017

Accepted: 25 September 2017

Publication Date:
22 March 2018 (eFirst)

Abstract

Hyponatremia due to several causes could occur in subarachnoid hemorrhage (SAH), and cerebral salt-wasting syndrome (CSWS) is one of the frequent causes of hyponatremia in this clinical setting. Appropriate clinical diagnosis is important as the treatment is entirely different in various etiologies. In the present report, the authors highlight various clinical and biochemical parameters that help in the recognition of CSWS and discuss its clinical management using a clinical prototype. As neurointerventional radiologists are becoming increasingly involved in the management of intra-cranial aneurysms and SAH, awareness of this entity and its appropriate management is essential in providing optimal care to these patients.