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一名8岁男孩患无菌性脑膜炎伴脑性盐耗综合征1例。

A case of cerebral salt-wasting syndrome associated with aseptic meningitis in an 8-year-old boy.

作者信息

Inatomi Jun, Yokoyama Yoshiki, Sekine Takashi, Igarashi Takashi

机构信息

Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

Pediatr Nephrol. 2008 Apr;23(4):659-62. doi: 10.1007/s00467-007-0679-8. Epub 2008 Jan 9.

Abstract

Cerebral salt-wasting syndrome is a disorder in which excessive natriuresis and subsequent hyponatremic dehydration occur in patients with intracranial diseases. Cerebral salt-wasting syndrome often develops in patients with severe neurosurgical disorders, such as hydrocephalus, cerebral infarction, and tuberculous meningitis. Here, we report on the case of an 8-year-old boy with cerebral salt-wasting syndrome associated with aseptic meningitis. He showed mild developmental retardation and had a history of convulsion. Four days after his admission, cerebral salt-wasting syndrome abruptly started: natriuresis and hyponatremia gradually improved over 10 days. To the best of our knowledge, this is the first report on cerebral salt-wasting syndrome associated with clinically benign aseptic meningitis.

摘要

脑性盐耗综合征是一种在颅内疾病患者中发生过度钠尿及随后低钠血症性脱水的病症。脑性盐耗综合征常发生于患有严重神经外科疾病的患者,如脑积水、脑梗死和结核性脑膜炎。在此,我们报告一例患有与无菌性脑膜炎相关的脑性盐耗综合征的8岁男孩病例。他有轻度发育迟缓且有惊厥病史。入院4天后,脑性盐耗综合征突然发作:钠尿和低钠血症在10天内逐渐改善。据我们所知,这是首例关于与临床良性无菌性脑膜炎相关的脑性盐耗综合征的报告。

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