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Review Case Reports
Hyponatremia in the patient with subarachnoid hemorrhage.
- Ellen Dooling and Chris Winkelman.
- Cleveland Clinic Foundation, USA. dooline@ccf.net
- J Neurosci Nurs. 2004 Jun 1; 36 (3): 130-5.
AbstractHyponatremia commonly occurs in patients with aneurysmal subarachnoid hemorrhage. Two mechanisms have been proposed as causes: syndrome of inappropriate anti-diuretic hormone and cerebral salt wasting. Physical examination and laboratory results can assist a clinician in identifying which mechanism is responsible and thus determine proper treatment. When hyponatremia is treated promptly and appropriately, patients' sodium levels return to normal without detrimental effects.
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