A case of cerebral salt-wasting syndrome associated with aseptic meningitis in an 8-year-old boy

Pediatr Nephrol. 2008 Apr;23(4):659-62. doi: 10.1007/s00467-007-0679-8. Epub 2008 Jan 9.

Abstract

Cerebral salt-wasting syndrome is a disorder in which excessive natriuresis and subsequent hyponatremic dehydration occur in patients with intracranial diseases. Cerebral salt-wasting syndrome often develops in patients with severe neurosurgical disorders, such as hydrocephalus, cerebral infarction, and tuberculous meningitis. Here, we report on the case of an 8-year-old boy with cerebral salt-wasting syndrome associated with aseptic meningitis. He showed mild developmental retardation and had a history of convulsion. Four days after his admission, cerebral salt-wasting syndrome abruptly started: natriuresis and hyponatremia gradually improved over 10 days. To the best of our knowledge, this is the first report on cerebral salt-wasting syndrome associated with clinically benign aseptic meningitis.

Publication types

  • Case Reports

MeSH terms

  • Brain / pathology*
  • Child
  • Fluid Therapy
  • Humans
  • Hyponatremia / complications*
  • Hyponatremia / diagnosis
  • Hyponatremia / therapy
  • Inappropriate ADH Syndrome / complications*
  • Inappropriate ADH Syndrome / diagnosis
  • Inappropriate ADH Syndrome / therapy
  • Male
  • Meningitis, Aseptic / complications*
  • Meningitis, Aseptic / diagnosis
  • Meningitis, Aseptic / therapy
  • Natriuresis
  • Sodium / administration & dosage
  • Sodium / metabolism

Substances

  • Sodium