Cerebral Salt Wasting in Elderly Persons

Letters and Corrections1 July 1987Cerebral Salt Wasting in Elderly PersonsR. A. TANNEAU, M.D., Y. L. PENNEC, M.D., J. JOUQUAN, M.D., G. LE MENN, M.D.R. A. TANNEAU, M.D.Search for more papers by this author, Y. L. PENNEC, M.D.Search for more papers by this author, J. JOUQUAN, M.D.Search for more papers by this author, G. LE MENN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-1-120_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editors: Ishikawa and colleagues (1) have recently reported cases of hyponatremia with persistent urinary excretion of sodium in three elderly patients after head injury. Because peripheral renin activity was low and unresponsive to intravenous administration of furosemide or to an orthostatic position and because fludrocortisone seemed effective in reversing hyponatremia, the authors suggested that a primary disorder in the renin-aldosterone axis may partly explain this hyponatremia. We report two similar cases of salt wasting in elderly persons and comment on this hypothesis.Two men with chronic dementia aged 81 and 85 years had hyponatremia ( 126 to 128...References1. ISHIKAWASAITOKANEKOOKADAKUZUYA STKKT. Hyponatremia responsive to fludrocortisone acetate in elderly patients after head injury. Ann Intern Med. 1987;106:187-91. LinkGoogle Scholar2. WILLIAMS G. Hyporeninemic hypoaldosteronism. .N Engl J Med. 1986;314:1041-2. CrossrefMedlineGoogle Scholar3. DE FRONZO R. Hyperkalemia and hyporeninemic hypoaldosteronism Kidney Int. 1980;17:118-34. CrossrefMedlineGoogle Scholar4. BICHETLEVISCHRIER DMR. Polyuria, dehydration, overhydration. In: SELDIN DW, GIEBISCH G, eds. The Kidney: Physiology and Pathophysiology. Vol 2. New York: Raven Press; 1985:951-84. Google Scholar5. NEEDLEMANGREENWALD PJ. Atriopeptin: a cardiac hormone intimately involved in fluid, electrolyte, and blood pressure homeostasis. N Engl J Med. 1986;314:828-34. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: R. A. TANNEAU, M.D.; Y. L. PENNEC, M.D.; J. JOUQUAN, M.D.; G. LE MENN, M.D.Affiliations: University Hospital 29279 Brest Cédex, France PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byOsmosinės mielinolizės sindromas (centrinė tilto ir ekstrapontininė mielinolizė): literatūros apžvalga ir atvejo pristatymasHyponatremiaHyponatremiaAcute Hyponatremic Encephalopathy After a Cerebrovascular AccidentAcute Hyponatremic Encephalopathy After a Cerebrovascular AccidentGeriatric hyponatremiaDiagnosis and Management of Hyponatremia 1 July 1987Volume 107, Issue 1Page: 120-120KeywordsDementiaElderlyExcretionFludrocortisoneHead injuryHyponatremiaSaltsSodium ePublished: 1 December 2008 Issue Published: 1 July 1987 PDF downloadLoading ...