Document Detail


Enlargement of the third ventricle and hyponatraemia in aneurysmal subarachnoid haemorrhage.
MedLine Citation:
PMID:  3379424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hyponatraemia following aneurysmal subarachnoid haemorrhage is associated with an increased risk of cerebral infarction. Whether the development of hyponatraemia was related to enlargement of the third ventricle on the admission CT scan was investigated in a consecutive series of 133 patients who were seen within 72 hours of aneurysmal haemorrhage. Hyponatraemia occurred significantly more often in patients with enlargement of the third ventricle (with or without dilatation of the lateral ventricles) than in patients with a normal ventricular system (20/41 versus 24/92, p = 0.016). After ventricular drainage, the sodium levels returned to normal in two patients in whom the size of the third ventricle decreased and not in four patients with persistent enlargement of the third ventricle. The significant relationship between enlargement of the third ventricle and hyponatraemia remained after adjustment for the amount of cisternal blood, but not after adjustment for the amount of intraventricular blood. These results suggest that the size of the third ventricle is an important but not the only factor in the relationship between acute hydrocephalus and hyponatraemia in patients with aneurysmal subarachnoid haemorrhage.
Authors:
E F Wijdicks; K J Vandongen; J Vangijn; A Hijdra; M Vermeulen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurology, neurosurgery, and psychiatry     Volume:  51     ISSN:  0022-3050     ISO Abbreviation:  J. Neurol. Neurosurg. Psychiatr.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-07-15     Completed Date:  1988-07-15     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  2985191R     Medline TA:  J Neurol Neurosurg Psychiatry     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  516-20     Citation Subset:  IM    
Affiliation:
University Department of Neurology, Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Cerebral Angiography
Cerebral Ventricles / pathology*
Humans
Hydrocephalus / pathology*
Hyponatremia / pathology*
Intracranial Aneurysm / pathology*
Sodium / blood
Subarachnoid Hemorrhage / pathology*
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
7440-23-5/Sodium
Comments/Corrections
Erratum In:
J Neurol Neurosurg Psychiatry 1988 Aug;51(8):1110

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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