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Editorials15 September 1990Treating Hyponatremia: What Is All the Controversy About?Tomas Berl, MDTomas Berl, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-6-417 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFew subjects consistently engender as much heated discussion as the treatment of hyponatremia. The confusion surrounding this subject is also evident from perusal of the medical literature. Whereas some authorities emphasize the catastrophic consequences associated with the failure to treat the symptomatic patient with this disorder (1-5), others point to the equally catastrophic outcome that can accompany treatment (6-10). What should a physician do when confronted with this seemingly irreconcilable dilemma? Understanding the cerebral consequences of untreated and treated hyponatremia, as well as awareness of the clinical settings that increase the risks for developing neurologic damage, can lead to a...References1. AyusKrothapalliArieff JRA. Changing concepts in treatment of severe symptomatic hyponatremia. Am J Med. 1985;78;897-902. CrossrefMedlineGoogle Scholar2. Arieff A. Hyponatremia, convulsions, respiratory arrest, and permanent brain damage after elective surgery in healthy women. N Engl J Med. 1986;314:1529-35. CrossrefMedlineGoogle Scholar3. Arieff A. Hyponatremia associated with permanent brain damage. Adv Intern Med. 1987;32:325-44. MedlineGoogle Scholar4. AyusKrothapalliArieff JRA. Treatment of symptomatic hyponatremia and its relation to brain damage. N Engl J Med. 1987;317:1190-5. CrossrefMedlineGoogle Scholar5. Arieff A. Osmotic failure: physiology and strategies for treatment. Hosp Pract. 1988;23:173-94. CrossrefGoogle Scholar6. Sterns R. The treatment of hyponatremia. 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K. Ng, MD 15 September 1990Volume 113, Issue 6Page: 417-419KeywordsHyponatremia Issue Published: 15 September 1990 PDF DownloadLoading ...
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