Table 1.
Data of the patient regarding diabetes insipidus and cerebral salt wasting syndrome
| Postoperative day | 0 | 1 | 3 | 6 | 7 | 8 | 9 | 11 | 12 |
|---|---|---|---|---|---|---|---|---|---|
| Day of surgery | DI | CSWS | |||||||
| Na plasma (mEq/L) | 145 | 149 | 142 | 137 | 128 | 129 | 132 | 138 | 145 |
| Na urine (mEq/L) | 63 | ||||||||
| pOsm (mOsm/Kg) | 301 | 293 | 264 | 293 | 276 | 290 | 297 | ||
| uOsm (mOsm/kg) | 293 | 495 | 679 | 367 | 312 | 167 | |||
| Diuresis | 2500 | 4320 | |||||||
| Urine density | 1015 | 1008 | |||||||
| Hb (g/dL) | 10.9 | 10.9 | 9.1 | 11.6 | 10.4 | 10.1 | |||
| Hematocrit (%) | 31.1 | 32.7 | 27.5 | 32.5 | 28.8 | 29.3 | |||
| NaCl 9 mg/mL (0.9%) 1000 mL | – | – | 83 mL/h | 42 mL/h | 42 mL/h | 42 mL/h | 42 mL/h | 42 mL/h | |
| Hypertonic saline – NaCl 200 mg/mL (20%) diluted in fluid therapy | – | – | – | – | ×3 | ×3 | ×6 | ×6 | ×4 |
| Desmopressin (mg) | Nasal 0.05 mg/day | Stop | Started 0.03 mg/day | ||||||
| Fludrocortisone | 0.1 mg tid | ||||||||
CSWS cerebral salt wasting syndrome, DI diabetes insipidus, Hb hemoglobin, Na sodium, NaCl sodium chloride, pOsm plasma osmolality, tid three times a day, uOsm urine osmolality