TY  - CHAP
M1  - Book, Section
TI  - Endocrine Disorders in Critical Illness
A1  - Edwards, Nancy J.
A1  - Lee, Kiwon
A2  - Lee, Kiwon
PY  - 2017
T2  - The NeuroICU Book, 2e
AB  - A  40-year-old  woman  presents  with  a  sudden,  severe,  thunderclap  headache.  A  CT  scan  and  a  CT  angiogram  are  obtained  which  reveal  diffuse  subarachnoid  hemorrhage  due  to  rupture  of  an  anterior  communicating  artery  aneurysm.  The  aneurysm  is  successfully  coiled.  Five  days  later,  the  patient  becomes  progressively  confused.  Transcranial  Doppler  sonography  is  within  normal  limits,  and  a  repeat  CT  angiogram  is  negative  for  any  significant  vessel  narrowing  suggestive  of  vasospasm.  Laboratory  tests  reveal  a  serum  sodium  concentration  of  128  mEq/L.  Salt  tablets  are  initiated  and  titrated  higher,  but  the  patient’s  sodium  remains  mildly  low.  A  continuous  infusion  of  3%  sodium  chloride  is  begun,  and  the  patient’s  sodium  normalizes.  Within  several  days,  she  is  weaned  from  the  continuous  infusion  and  is  subsequently  discharged  home  with  salt  tabs  and  a  scheduled  taper.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - neurology.mhmedical.com/content.aspx?aid=1143958250
ER  -