HEAD INJURY FOLLOWED BY TRANSIENT HYPONATREMIA, PROBABLY CAUSED BY INAPPROPRIATE ANTIDIURESIS

Publisher Website
Google Scholar
Abstract
A case is reported of a young man with a severe head injury and signs of inappropriate antidiuretic action upon the kidneys. The most salient feature was high urine volumes that could not be reduced by the administration of vasopressin. It can be concluded that large urine volumes in patients with cranio-cerebral trauma is not necessarily a result of traumatic insufficiency of the neurohypophysis. Serum and urinary electrolytes and if possible the body weight, should be regularly controlled along with plasma and urine osmolalities to distinguish these clinical entities.