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Volume 355:2703-2705 December 21, 2006 Number 25
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Cerebral Aneurysms

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 by Brisman, J. L.
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To the Editor: Hyponatremia, a common and important complication of subarachnoid hemorrhage, is not mentioned in the review of cerebral aneurysms by Brisman et al. (Aug. 31 issue).1 Hyponatremia is associated with substantially increased morbidity among neurosurgical patients. A recent study2 indicated that hyponatremia developed in 66% of patients who underwent aneurysmal clipping and 62% of patients who underwent coiling after subarachnoid hemorrhage. The pathophysiology of hyponatremia is often complex and should influence the treatment approach. Clinicians should be aware of the importance of this problem so that appropriate measures can be implemented to correct hyponatremia in a timely fashion.


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