Skip to main content

Advertisement

Log in

Clinical Analysis of Brain Trauma-Associated SIADH

  • Original Paper
  • Published:
Cell Biochemistry and Biophysics Aims and scope Submit manuscript

Abstract

The objective of this study was to analyze the clinical features of brain trauma associated syndrome of inappropriate antidiuretic hormone secretion. A retrospective analysis was performed for the electrolytes and osmolality of blood and urine samples of brain injury patients, which have been collected in our department since last 20 years. Four cases of brain injury patients met the criteria of SIADH, and three of them were cured but one patient died. In conclusion, the pathogenesis and treatment of SIADH associated with brain injury are different from hyponatremia. Early diagnosis and treatment can reduce the morbidity and mortality of patients with traumatic brain injury.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bartter, F. C., & Schwartz, W. B. (1967). The syndrome of inappropriate secretion of antidiuretic hormone. American Journal of Medicine, 42(5), 790–806.

    Article  CAS  PubMed  Google Scholar 

  2. Schwartz, W. B., Bennett, W. C., Curelop, S., & Bartter, F. C. (1957). A syndrome of renal sodium loss and hyponatremia probably resulting from inappropriate secretion of antidiuretic hormone. American Journal of Medicine, 23, 529–542.

    Article  CAS  PubMed  Google Scholar 

  3. Damaraju, S. C., Rajshekhar, V., & Chandy, M. J. (1997). Validation study of a central venous pressure-based protocol for the management of neurosurgical patients with hyponatremia and natriuresis. Neurosurgery, 40, 312–317.

    Article  CAS  PubMed  Google Scholar 

  4. Baylis, P. H., & Cheetham, T. (1998). Diabetes insipidus. Archives of Disease in Childhood, 79, 84–89.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Van Amelsvoort, T., Baskshi, R., Devaux, C. B., et al. (1994). Hyponatraemia associated with carbamazepine and oxcarbamazepine therapy: A review. Epilepsia, 35, 181–188.

    Article  PubMed  Google Scholar 

  6. Mewasingh, L., Aylett, S., Kirkham, F., et al. (2000). Hyponatraemia associated with lamotrigine in cranial diabetes insipidus. Lancet, 356, 656.

    Article  CAS  PubMed  Google Scholar 

  7. Zafonte, R. D., & Mann, N. R. (1997). Cerebral salt wasting syndrome in brain injury patients: a potential cause of hyponatraemia. Archives of Physical Medicine and Rehabilitation, 78, 540–542.

    Article  CAS  PubMed  Google Scholar 

  8. Graziani, G., Cucchiari, D., Aroldi, A., Angelini, C., Gaetani, P., & Selmi, C. (2012). Syndrome of inappropriate secretion of antidiuretic hormone in traumatic brain injury: When tolvaptan becomes a life saving drug. Journal of Neurology, Neurosurgery, and Psychiatry, 83(5), 510–512.

    Article  PubMed  Google Scholar 

  9. Watabe, R., et al. (2000). Angiotropic B-cell lymphoma with hemophagocytic syndrome associated with syndrome of inappropriate secretion of antidiuretic hormone. Annals of Hematology, 799(10), 581–584.

    Article  Google Scholar 

  10. Levy, M. L. (1997). Comment on “Validation study of a central venous pressure-based protocol for the management of neurosurgical patients with hyponatremia and natriuresis”. Neurosurgery, 40, 17.

    Google Scholar 

  11. Lohani, S., & Devkota, U. P. (2011). Hyponatremia in patients with traumatic brain injury: Etiology, incidence, and severity correlation. World Neurosurgery, 76(3–4), 355–360.

    Article  PubMed  Google Scholar 

  12. Costa, K. N., Nakamura, H. M., da Cruz, L. R., de Miranda, L. S., dos Santos-Neto, R. C., Cosme, Sde. L., et al. (2009). Hyponatremia and brain injury: Absence of alterations of serum brain natriuretic peptide and vasopressin. Arq Neuropsiquiatr, 67(4), 1037–1044.

    Article  PubMed  Google Scholar 

  13. Sherlock, M., O’Sullivan, E., Agha, A., Behan, L.-A., Owens, D., Finucane, F., et al. (2009). Incidence and pathophysiology of severe hyponatraemia in neurosurgical patients. Postgraduate Medical Journal, 85(1002), 171–175.

    Article  CAS  PubMed  Google Scholar 

  14. Macias-Robles, M.-D., Lopez-Fonticiella, M.-P., Macia-Bobes, M., & Fernandez-San-Martin, A. (2009). Severe and acute hyponatremia in a schizophrenic patient with potomania. Anales del Sistema Sanitario de Navarra, 32(1), 117–120.

    Article  CAS  PubMed  Google Scholar 

  15. Chang, C.-H., Liao, J.-J., Chuang, C.-H., & Lee, C.-T. (2008). Recurrent hyponatremia after traumatic brain injury. The American Journal of the Medical Sciences, 335(5), 390–393.

    Article  PubMed  Google Scholar 

  16. Lu, D.-C., Binder, D.-K., Chien, B., Maisel, A., & Manley, G.-T. (2008). Cerebral salt wasting and elevated brain natriuretic peptide levels after traumatic brain injury: 2 case reports. Surgical Neurology, 69(3), 226–229.

    Article  PubMed  Google Scholar 

  17. Moro, N., Katayama, Y., Igarashi, T., Mori, T., Kawamata, T., & Kojima, J. (2007). Hyponatremia in patients with traumatic brain injury: incidence, mechanism, and response to sodium supplementation or retention therapy with hydrocortisone. Surgical Neurology, 68(4), 387–393.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Ms. Hong Tang and Ms. Wei Sun for their assistance in data collection.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lunshan Xu.

Additional information

Contribution of Authors

Lizhao Chen, Minhui Xu, Yongwen Zou, and Lunshan Xu collected the study cases and performed SIADH diagnosis. Lizhao Chen was responsible for writing the paper under the direction of Lunshan Xu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, L., Xu, M., Zou, Y. et al. Clinical Analysis of Brain Trauma-Associated SIADH. Cell Biochem Biophys 69, 703–706 (2014). https://doi.org/10.1007/s12013-014-9856-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12013-014-9856-0

Keywords

Navigation