Abstract:
:The syndrome of inappropriate antidiuretic hormone secretion (SIADH) developed approximately 7 days after a spontaneous subarachnoid hemorrhage in a 63-year-old woman with an anterior cerebral artery aneurysm. The hyponatremia associated with this syndrome resulted in a deterioration of the patient's clinical condition and focal neurological signs, which simulated the clinical deterioration after spontaneous subarachnoid hemorrhage that is often caused by other intracranial pathological conditions. The focal neurological signs in particular are likely to be interpreted as indicating one of these other conditions. Prompt recognition and treatment of the SIADH resulted in prompt improvement, and we were then able to proceed with the planned craniotomy for the aneurysm. The syndrome and its importance are discussed.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Wise BLdoi
10.1227/00006123-197811000-00016subject
Has Abstractpub_date
1978-11-01 00:00:00pages
412-4issue
3eissn
0148-396Xissn
1524-4040journal_volume
3pub_type
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