Fixed Hyponatremia with Normal Responses to Varying Salt and Water Intakes
- 7 January 1971
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 284 (1) , 26-28
- https://doi.org/10.1056/nejm197101072840107
Abstract
THERE are many well documented cases of cerebral disease causing hyponatremia due to the inappropriate secretion of antidiuretic hormone.1 A cerebral salt-wasting syndrome with clinical dehydration has also been described.2 The present report concerns a patient with cerebrovascular disease who had a fixed serum sodium concentration of 120 mEq per liter and responded appropriately to variations in his salt and water intake.Case ReportJ.W. (M.H. 46–58–11), a 48-year-old black man, was admitted in a comatose state from another hospital on March 27, 1970, after a fall. On carotid arteriography an occlusion of the left internal carotid artery at its . . .Keywords
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