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Post-traumatic hyponatraemia due to acute hypopituitarism
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Sir,
Hyponatraemia following traumatic brain injury (TBI) is a common complication, occurring in 13% of cases.1 The commonest cause of hyponatraemia is the syndrome of inappropriate antidiuretic hormone secretion (SIADH), which is responsible for over 90% of cases,1 whereas cerebral salt wasting, medications and injudicious use of intravenous fluids may also cause hyponatraemia following TBI. As glucocorticoid deficiency can present
Department of Endocrinology Beaumont Hospital Dublin Ireland e-mail: amaragha@yahoo.com
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H. J. Schneider, I. Kreitschmann-Andermahr, E. Ghigo, G. K. Stalla, and A. Agha Hypothalamopituitary Dysfunction Following Traumatic Brain Injury and Aneurysmal Subarachnoid Hemorrhage: A Systematic Review JAMA, September 26, 2007; 298(12): 1429 - 1438. [Abstract] [Full Text] [PDF] |
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