Key result
General anesthesia was associated with transient oliguria during surgery in a 5-year-old girl with cerebral salt wasting syndrome and marked polyuria.
Case Report (n=1)
General anesthesia may cause transient oliguria in patients with cerebral salt wasting syndrome who otherwise exhibit marked polyuria.
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May warrant anesthesia caution in pediatric CSWS; leaves open need for prospective studies on fluid dynamics.
Cerebral salt wasting syndrome is a hyponatremic and hypovolemic condition caused by intracranial disorders, such as head injury, subarachnoid hemorrhage, brain tumor, and brain operations. We report a case of a 5-year-old girl that had cerebral salt wasting syndrome with marked polyuria who showed transient oliguria during general anesthesia. The patient had undergone an operation for traumatic intracranial hemorrhage three months prior and has had marked polyuria and hyponatremia since then. After induction of anesthesia for cranioplasty, the patient had oliguria during surgery and then resumed polyuria in the post-operative period.
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Lee et al. (2016) conducted a case report in Cerebral salt wasting syndrome (n=1). General anesthesia was evaluated on Transient oliguria. General anesthesia was associated with transient oliguria during surgery in a 5-year-old girl with cerebral salt wasting syndrome and marked polyuria.
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