Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 3 Issue 2

N The Significance of Hyponatremia Assessment Before Surgical Intervention on the Confusion Table in the Borderline Subdural Hematoma

Ozdemir Ugur*

Neurosurgery, Beykoz State Hospital, Turkey

*Corresponding Author: Ozdemir Ugur, Neurosurgery, Beykoz State Hospital, Turkey.

Received: December 30, 2019; Published: January 10, 2020

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Abstract

  The aim of presenting this phenomenon was to emphasize that changes in the consciousness table in a patient with traumatic borderline subdural hematoma may depend not only on hematoma but also on hyponatremia. Our case was a 60 year old, confused patient with borderline subdural hematoma on CT examination. The patient had deep hyponatremia at the same time. While the patient was followed up with clinical, radiological and laboratory findings, it was seen that the hematoma continued at the same size, but the consciousness was totally opened by the treatment of hyponatremia and even the patient could be mobilized. In conclusion, a patient who has undergone trauma and has surgically borderline subdural hematoma should not be rushed for surgery. In such patients, urgent electrolyte evaluations especially for hyponatremia should be done first, and this should be corrected.

Keywords: Traumatic Brain İnjury; Borderline Subdural Hematoma; Hyponatremia; İnappropriate Antidiuretic Hormone Secretion Syndrome

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References

  1. Yumoto T., et al. “Prevalence, Risk Factors, and Short-term Consequences of Traumatic Brain Injury-associated Hyponatremia”. Acta Medica Okayama 69.4 (2015): 213-218.
  2. Sepehri P., et al. “Hyponatremia in traumatic brain injury patients: Syndrome of Inappropriate Antidiuretic Hormone (SIADH) versus Cerebral Salt Wasting Syndrome (CSWS)”. Journal of Injury and Violence Research 4.1 (2012): 17.
  3. Bradshaw K and Smith M. “Disorders of sodium balance after brain injury”. Continuing Education in Anaesthesia, Critical Care and Pain 8.4 (2008): 129-133.
  4. Lohani S and Devkota UP. “Hyponatremia in patients with traumatic brain injury: etiology, incidence, and severity correlation”. World Neurosurgery 76.3-4 (2011): 355-360.
  5. Hannon MJ and Thompson CJ. “Neurosurgical Hyponatremia”. Journal of Clinical Medicine 3 (2014): 1084-11040.
  6. Badikillaya VU., et al. “Hyponatraemia in Head Injuries Caused by Road Traffic Accidents”. Journal of Clinical and Diagnostic Research 7.2 (2013): 407-408.
  7. Paiva WS., et al. “Serum sodium disorders in patients with traumatic brain injury”. Therapeutics and Clinical Risk Management 7 (2011): 345-349.
  8. Reimann D and Gross P. “Sudden onset of unconsciousness and hyponatraemia. Facts and myths about salt and water in SIAD”. Nephrology Dialysis Transplantation 11 (1996): 2101-2102.
  9. Meng X and Shi B. “Traumatic Brain Injury Patients with a Glasgow Coma Scale Score of ≤ 8, Cerebral Edema, and/or a Basal Skull Fracture are More Susceptible to Developing Hyponatremia”. Journal of Neurosurgical Anesthesiology 28.1(2016): 21-26.
  10. Chang C-H., et al. “Recurrent Hyponatremia After Traumatic Brain Injury”. The American Journal of The Medical Sciences 335.5 (2008): 390-393.
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Citation

Citation: Ozdemir Ugur. “N The Significance of Hyponatremia Assessment Before Surgical Intervention on the Confusion Table in the Borderline Subdural Hematoma".Acta Scientific Neurology 3.2 (2020): 01-02.




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