• J Neurosci Nurs · Jun 2004

    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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