Treating hyponatremia in an empty sella syndrome patient complicated with possible myelinolysis

Chang Gung Medical Journal

Volumn 25, Issue 12, 2002, Pages 838-843

  Lee, Wen Chin ^a   Cheng, Yuan Fu ^a   Chen, Jin Bor ^a  

^a CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

Author keywords

Empty sella; Glucocorticoid substitution; Hyponatremia; Myelinolysis

Indexed keywords

CORTISONE ACETATE; GLUCOCORTICOID; GLUCOSE; HYDROCORTISONE; HYPOTONIC SOLUTION; LEVOTHYROXINE; POTASSIUM; SODIUM; SODIUM CHLORIDE; VASOPRESSIN;

ADULT; ARTICLE; CASE REPORT; CENTRAL PONTINE MYELINOLYSIS; CISTERNOGRAPHY; CLINICAL FEATURE; CONSCIOUSNESS DISORDER; EARLY DIAGNOSIS; EMPTY SELLA SYNDROME; FEMALE; FLUID INTAKE; FLUID THERAPY; HORMONE BLOOD LEVEL; HORMONE SUBSTITUTION; HUMAN; HYPONATREMIA; HYPOPITUITARISM; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT MONITORING; POSTPARTUM HEMORRHAGE; SODIUM BLOOD LEVEL;

EID: 0036995999     PISSN: 02558270     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (16)

1. Okuno S, Inaba M, Nishizawa Y. Miki T, Inoue Y, Morii H. A case of hyponatremia in panhypopituitarism caused by the primary empty sella syndrome. Endocrinol Japoni 1987;34:299-307.
2. Fleckman AM, Schubart UK. Danziger A, Fleischer N. Empty sella of normal size in Sheehan's syndrome. Am J Med 1983;75:585-91.
3. Bakiri F, Bendib SE, Maoui R, Bendib A, Benmiloud M. The sella turcica in Sheehan's syndrome: Computerized tomographic study in 54 patients. J Endocrinol Invest 1991;14:193-6.
4. Gross P. Treatment of severe hyponatremia. Kidney Int 2001;60:2417-27.
5. Bjerre P. The empty sella. A reappraisal of etiology and pathogenesis. Acta Neurol Scand Suppl 1990;130:1-25.
6. Boulanger E, Pagniez D. Roueff S, Binaut R, Valat AS, Provost N, Leroy R, Codaccioni X, Dequiedt P, Sheehan syndrome presenting as early post-partum hyponatraemia. Nephrol Dial Transplant 1999;14:2714-5.
7. Oelkers W. Hyponatremia and inappropriate secretion of vasopressin (antidiuretic hormone) in patients with hypopituitarism. N Engl J Med 1989;321:492-6.
8. Wakui H, Nishinari T, Nishimura S, Endo Y, Nakamoto Y, Miura AB. Inappropriate secretion of antidiuretic hormone in isolated adrenocorticotropin deficiency. Am J Med Sci 1991;301:319-21.
9. Gross PA, Ketteler M, Hausmann C, Ritz E. The charted and uncharted waters of hyponatremia. Kidney Int Suppl 1987;21:S67-75.
10. Ahmed ABJ, George BC, Gonzalez-Auvert C, Dingman JF. Increased plasma arginine vasopressin in clinical adrenocortical insufficiency and its inhibition by glucocorticoids. J Clin Invest 1967;46:111-23.
11. Putterman C, Almog Y, Caraco Y, Gross DJ, Ben-Chetrit E. Inappropriate secretion of antidiuretic hormone in Sheehan's syndrome: a rare cause of postpartum hyponatremia. Am J of Obstet Gynecol 1991;165:1330-3.
12. Laureno R, Karp BI. Myelinolysis after correction of hyponatremia. Ann Intern Med 1997;126:57-62.
13. Martin PJ, Young CA. Central pontine myelinolysis: clinical and MRI correlates, Postgrad Med J 1995;71:430-2.
14. Leens C, Mukendi R, Foret F, Hacourt A, Devuyst O, Colin IM. Central and extrapontine myelinolysis in a patient in spite of a careful correction of hyponatremia. Clin Nephrol 2001;55:248-53.
15. Pirzada NA, Ali II. Central pontine myelinolysis. Mayo Clin Proc 2001;76:559-62.
16. Soupart A, Penninckx R, Crenier L,. Stenuit A. Perier O, Decaux G., Prevention of brain demyelination in rats after excessive correction of chronic hyponatremia by serum sodium lowering. Kidney Int 1994;45:193-200.