Table 1 Clinical features of SIADH in patients with Wallenberg syndrome [4, 11, 12]
This case | Previous case [4] | ||
|---|---|---|---|
Age(y.o.)/Sex | 67/Male | 44/Male | mean age: 57 ± 11.9 |
Male: Female = 2.25:1 | |||
Initial symptoms | dizziness, dysarthria, dysphagia | headache, dysphagia, hiccups, | dizziness, vertigo, gait ataxia, dysarthria, dysphagia |
Neurological symptoms | crossed sensory disturbance, cerebellar ataxia, nystagmus | crossed sensory disturbance, cerebellar ataxia | crossed sensory disturbance, cerebellar ataxia |
Horner syndrome | - | + | + |
Dysgeusia | - | - | occasionally observed |
Past history | diabetes mellitus | not described | hypertension, diabetes mellitus, cigarette smoking |
Treatment for cerebral infarction | edaravone oral clopidogrel argatroban | edaravone | varies depend on the causes |
Interval days between the onset of Wallenberg syndrome and hyponatremia | thirteen days | fifteen days | |
Symptom of hyponatremia | asymptomatic | asymptomatic | |
Treatment for hyponetremia | restriction of fluid intake, intravenous furosemide | restriction of fluid intake | |
Clinical course | improved | improved |