Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 26 , ISSUE 3 ( September, 2015 ) > List of Articles

CASE REPORT

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) in Traumatic Spinal Cord Injury

Vinay Goyal, Nonica Laisram, Diganta Borah, C Chethan.

Citation Information : Goyal V, Laisram N, Borah D, Chethan. C. Syndrome of Inappropriate Antidiuretic Hormone (SIADH) in Traumatic Spinal Cord Injury. Indian J Phy Med Rehab 2015; 26 (3):76-78.

DOI: 10.5005/ijopmr-26-3-76

Published Online: 00-09-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Hyponatraemia is a known complication associated with neurosurgical conditions including acute spinal injury. The prevalence of hyponatraemia in acute spinal cord injury has been known to be much higher than in the general population. Hyponatraemia is a marker of different underlying diseases and it can be a cause of morbidity itself; this implies the importance of a correct approach to the problem. The syndrome of inappropriate antidiuretic hormone (SIADH) is one of the most common causes of hyponatraemia; it is a disorder of sodium and water balance characterised by urinary dilution impairment and euvolaemic/hypotonic hyponatraemia, in the absence of renal disease or any identifiable nonosmotic stimulus able to induce antidiuretic hormone (ADH) release. It is a diagnosis of exclusion. We are reporting a case of hyponatraemia in a patient with lumbar spinal cord injury who was initially managed as any other hyponatraemia and was later diagnosed as suffering from SIADH.


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