Dyskalaemia following diffuse axonal injury: case report and review of the literature.

Hdl Handle:
http://hdl.handle.net/10147/295977
Title:
Dyskalaemia following diffuse axonal injury: case report and review of the literature.
Authors:
Cronin, David; Kaliaperumal, Chandrasekaran; Kumar, Ramanathan; Kaar, George
Affiliation:
Department of Neurosurgery, Cork University Hospital, Cork, Ireland.
Citation:
Dyskalaemia following diffuse axonal injury: case report and review of the literature. 2012, 2012: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
2012
URI:
http://hdl.handle.net/10147/295977
DOI:
10.1136/bcr-01-2012-5654
PubMed ID:
23060370
Abstract:
Traumatic brain injury, and its management, commonly causes derangements in potassium balance. There are a number of recognised causative factors including head trauma, hypothermia and iatrogenic factors such as pharmacological agents and permissive cooling. We describe a case of a 19-year-old man with a severe traumatic brain injury. In a 36-h period, his intracranial pressure increased despite maximal medical therapy and he developed refractory hypokalaemia. Immediately following a decompressive craniectomy, the patient was noted to be profoundly hyperkalaemic; this led to the development of ventricular tachycardia and cardiac arrest, from which the patient did not recover. The effects of brain injury on potassium balance are not well appreciated; the effect of decompressive craniectomy on potassium (K(+)) balance has not been described previously. We would like to emphasise the potential effect of diffuse axonal injury, a severe form of brain injury and decompressive craniectomy on potassium balance.
Item Type:
Article
Language:
en
MeSH:
Adult; Decompressive Craniectomy; Diffuse Axonal Injury; Fatal Outcome; Heart Arrest; Humans; Hyperkalemia; Hypokalemia; Male; Potassium; Young Adult
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorCronin, Daviden_GB
dc.contributor.authorKaliaperumal, Chandrasekaranen_GB
dc.contributor.authorKumar, Ramanathanen_GB
dc.contributor.authorKaar, Georgeen_GB
dc.date.accessioned2013-07-15T11:52:07Z-
dc.date.available2013-07-15T11:52:07Z-
dc.date.issued2012-
dc.identifier.citationDyskalaemia following diffuse axonal injury: case report and review of the literature. 2012, 2012: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid23060370-
dc.identifier.doi10.1136/bcr-01-2012-5654-
dc.identifier.urihttp://hdl.handle.net/10147/295977-
dc.description.abstractTraumatic brain injury, and its management, commonly causes derangements in potassium balance. There are a number of recognised causative factors including head trauma, hypothermia and iatrogenic factors such as pharmacological agents and permissive cooling. We describe a case of a 19-year-old man with a severe traumatic brain injury. In a 36-h period, his intracranial pressure increased despite maximal medical therapy and he developed refractory hypokalaemia. Immediately following a decompressive craniectomy, the patient was noted to be profoundly hyperkalaemic; this led to the development of ventricular tachycardia and cardiac arrest, from which the patient did not recover. The effects of brain injury on potassium balance are not well appreciated; the effect of decompressive craniectomy on potassium (K(+)) balance has not been described previously. We would like to emphasise the potential effect of diffuse axonal injury, a severe form of brain injury and decompressive craniectomy on potassium balance.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subject.meshAdult-
dc.subject.meshDecompressive Craniectomy-
dc.subject.meshDiffuse Axonal Injury-
dc.subject.meshFatal Outcome-
dc.subject.meshHeart Arrest-
dc.subject.meshHumans-
dc.subject.meshHyperkalemia-
dc.subject.meshHypokalemia-
dc.subject.meshMale-
dc.subject.meshPotassium-
dc.subject.meshYoung Adult-
dc.titleDyskalaemia following diffuse axonal injury: case report and review of the literature.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Neurosurgery, Cork University Hospital, Cork, Ireland.en_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen

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