Evidence map›Paper›PMID 41647008›Full record

ArticleJCEM case reports2026

Severe Cerebral Salt Wasting Complicating Arginine Vasopressin Deficiency After Traumatic Brain Injury.

Shi Hui Saw, Wayne S Cutfield, Craig A Jefferies, Benjamin B Albert

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shi Hui SawStarship Child Health, Te Whatu Ora-Health New Zealand, Te Toka Tumai Auckland, Auckland 1142, New Zealand.ORCID https://orcid.org/0000-0001-7382-1545
Wayne S CutfieldLiggins Institute, University of Auckland, Auckland 1023, New Zealand.ORCID https://orcid.org/0000-0001-6107-3682
Craig A JefferiesStarship Child Health, Te Whatu Ora-Health New Zealand, Te Toka Tumai Auckland, Auckland 1142, New Zealand.ORCID https://orcid.org/0000-0002-0541-6094
Benjamin B AlbertStarship Child Health, Te Whatu Ora-Health New Zealand, Te Toka Tumai Auckland, Auckland 1142, New Zealand.ORCID https://orcid.org/0000-0003-0498-3473

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disturbances of water and sodium homeostasis may occur after traumatic brain injury. We report a 20-month-old girl who had a disturbance of water balance consisting of arginine vasopressin deficiency (AVP-D), extreme cerebral salt wasting (CSW), and finally permanent AVP-D following severe traumatic head injury. Magnetic resonance imaging of the brain showed transection of the pituitary stalk and the absence of a posterior pituitary bright spot. Her fluid balance disorder was also complicated by ACTH and TSH deficiency. The CSW phase was characterized by severe hyponatremia with dramatic polyuria and natriuresis and required aggressive fluid replacement with hypertonic saline in addition to vasopressin infusion and fludrocortisone. This case highlights the dynamic nature of fluid balance disorders after brain injury, the importance of recognizing the distinctive patterns of plasma and urine parameters in each condition, and the aggressive management required to treat severe cerebral salt wasting.

Indexed as

arginine vasopressin deficiencyAVP-Dcerebral salt wastingCSWTBItraumatic brain injury

Identifiers

PMID41647008
PMCPMC12871071

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.