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The maintenance of normal plasma osmolality depends on the interaction of some complex mechanisms that regulates the extracellular fluid and sodium levels, involving antidiuretic hormone ADH actions, thirst, and the renin-angiotensin-aldosterone system.

The clinical presentation of both syndromes is similar and the differential diagnosis may be difficult. The determination of the volemic state is essential for the diagnosis, since the patients with the SIADH are characterized for being euvolemic or hypervolemic, while those with CSWS are hypovolemic. Several methods are used to detect the volemic state of those patients, such as the determination of plasma and urinary osmolality, water deprivation test, hypertonic load test and the test of the furosemide that can be discriminatory for the SIADH and CSWS.

The treatment of polyuric syndromes depends on their etiology, and includes vasopressin analogs dDAVPdiuretics chlorothiazide, hydrochlorothiazide and amilorideand other drugs such as clorpropramide, hydroclorothiazide, clofibrate, glucocorticoids, carbamazepine and indomethacin.

In contrast, the treatment of CSWS requires volume replacement with supply of sodium and liquids, and the fludrocortisone can be a good therapeutic alternative. The diagnosis and treatment of these syndromes are discussed in view of the literature. Antidiuretic hormone; Hyponatremia; Diabetes insipidus; Syndrome inappropriate secretion of antidiuretic hormone; Cerebral salt wasting; Pituitary surgery. Existem dois tipos de PP: Um gene foi mapeado no cromossomo 4p Tumores do sistema nervoso central como craniofaringioma, disgerminoma, meningioma, glioma, astrocitoma e germinoma da pineal podem causar DI, sendo o craniofaringioma a neoplasia mais comumente envolvida 6,7,12, Os sinais e sintomas na SIADH dependem do grau da hiponatremia e da velocidade com que se instala Pode ser obtida em amostras isoladas ou de urina de 24 horas.


Cukiert A, Liberman B, eds. Vasopressin and other agents affecting the renal conservation of water. The pharmacological basis of therapeutics10th ed.

Abnormalities of ADH secretion and action

Drugs affecting renal and cardiovascular function. Molecular genetics of familial central diabetes insipidus. J Clin Endocrinol Metab ; The posterior pituitary and water metabolism. Williams textbook of endocrinology9th ed.

Vilar L, Leal E. Presse Med ; Pediatr Rev ; The aquaporin family of water channel proteins in clinical medicine. Pathophysiology of aquaporin-2 in water balance disorders. Am J Med Sci ; Endocrinol Metab Clin Diurexe Am ; Normal and disordered function.

Endocrinol Metab Clin ; Am J Med ; Two novel aquaporin-2 mutations responsible for congenital nephrogenic diabetes insipidus in Chinese families.

Manual_farmacoterapeutico Hopsital s. Maritano

Annu Rev Physiol ; Molecular analyses of the vasopressin type 2 receptor and aquaporin-2 genes in Aquoea kindreds with nephrogenic diabetes insipidus. Hum Mutat ; Vasopressin receptor mutations and nephrogenic diabetes insipidus. Arch Med Res ; Biochemical basis of partial nefrogenic diabetes insipidus phenotypes. Mol Endocrinol ; The effect of eight V2 receptor mutations on stimulation of adenyl cyclase, binding to vasopressin.

J Biol Chem ; A low affinity vasopressin V2-receptor gene in a kindred with X-linked nephrogenic diabetes insipidus. J Am Soc Nephrol ;7: Lithium-induced nephrogenic diabetes insipidus.

J Am Board Fam Pract ; Recent advances in molecular genetics. Syndromes of excess antidiuretic hormone release.

Crit Care Clin ; Early diagnosis of an assymptomatic carrier.

Endocr Pract ;8: Am J Dis Child ; Inappropriate gomem of antidiuretic hormone after transsphenoidal surgery for pituitary tumors. N Engl J Med ; Differential diagnosis and aquoea of hyponatremia following routine pituitary surgery. J Neurosurg Sci ; in press. Delayed onset of hyponatremia after transsphenoidal surgery for pituitary adenomas. Delayed hyponatremia after transsphenoidal surgery for pituitary adenoma. Report of nine cases.

J Neurosurg ; Pathophysiology of hyponatremia after transsphenoidal pituitary surgery. Isolated hyponatremia after transsphenoidal pituitary surgery. Severe hyponatremia after transsphenoidal surgery for pituitary adenomas. Kidney Int ;53 Suppl Fluid balance aquosw secretion of antidiuretic hormone following transsphenoidal pituitary surgery.


Hyponatremia after transsphenoidal surgery for pituitary tumors. A syndrome of renal sodium loss and hyponatremia probably resulting from inappropriate secretion of antidiuretic hormone. Systemic diseases associated with disorders of water homeostasis.

J Auosa Med hoem Arch Intern Med ; Hyponatremia and the syndrome of inappropriate antidiuretic hormone associated with the use of selective serotonin reuptake inhibitors: Can Med Assoc J ; Severe symptomatic hyponatremia during citalopram therapy. Effect of O-tetradecanoyl phorbol acetate on solute transport and production of cAMP in isolated frog skin.

Acta Physiol Scand ; A salt-wasting syndrome associated with cerebral disease. Trans Assoc Am Physicians ; Hyponatremia in intracranial disease: Hyponatraemia secondary to cerebral salt wasting syndrome following routine pituitary surgery.

Manual_farmacoterapeutico Hopsital s. Maritano

Eur J Endocrinol ; Plasma atrial natriuretic factor and subarachnoid hemorrhage. Plasma concentrations diuresse brain natriuretic peptide in patients with subarachnoid hemorrhage. A study of serum antidiuretic hormone and atrial natriuretic peptides levels in a series of patients with intracranial disease and hyponatremia. Cerebral salt wasting syndrome distinct from the syndrome of inappropriate secretion of antidiuretic hormone SIADH. Acta Neurochir Wien ; Secretion of brain natriuretic peptide in patients with aneurysmal subarachnoid haemorrhage.

Neurologic manifestation of electrolyte disturbances. Neurol Clin ; Investigation of hypothalamo-pituitary disorders. Diagnostic tests in endocrinology and diabetes. Effect of plasma osmolality on pituitary-adrenal responses to corticotropin-releasing hormone and atrial natriuretic peptide changes in central diabetes insipidus.

Pediatria Med 2016

Arq Bras Endocrinol Metab ; Rapid correction of hyponatremia in the syndrome of inappropriate secretion of antidiuretic hormone. Ann Intern Med ; Extrapontine myelinolysis after surgical removal of a pituitary tumour.

Acta N Scand ; The management of diabetes insipidus in adults. Hyponatremia is associated with cerebral ischemia in patients with aneurismal subarachnoid hemorrhage. Ann Neurol ; Treatment of the syndrome of inappropriate secretion of antidiuretic hormone with urea.