Severe Hyponatremia in the Emergency Department Incidence of Cerebral Edema and Risk of Osmotic Demyelination Syndrome
Given the low rate of cerebral edema even in severely symptomatic patients, aggressive treatment may not be necessary in most cases. The risk to develop ODS seems to be higher than the risk of brain edema. Since we found no beneficial impact of a liberal correction strategy, current treatment limits should stay in place.
Authors
- Matthias J. Hackl (ORCID: https://orcid.org/0000-0002-4199-3374)
- Sadrija Cukoski (ORCID: https://orcid.org/0000-0002-6427-177X)
- Thorsten Persigehl (ORCID: https://orcid.org/0000-0001-5928-4405)
- R Rabii
- Volker Burst (ORCID: https://orcid.org/0000-0002-0256-6628)
- Christoph Hüser (ORCID: https://orcid.org/0000-0002-6112-4678)
- Kathrin Möllenhoff (ORCID: https://orcid.org/0000-0001-7861-3892)
- Víctor Suárez (ORCID: https://orcid.org/0000-0003-4781-6480)
- Stefan Haneder (ORCID: https://orcid.org/0000-0003-3747-3314)
- Moritz Trappe (ORCID: https://orcid.org/0000-0002-6696-9709)
- Julian Peto‐Madew
Institutions
- University of Cologne (DE)
- University Hospital Cologne (DE)
Publication Details
- Journal
- Academic Emergency Medicine
- Published
- 2025-10-09
- DOI
- https://doi.org/10.1111/acem.70158
- Citations
- 1
- Primary Topic
- Electrolyte and hormonal disorders
- Type
- article
- Field-Weighted Citation Impact
- 1.52