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Hyponatremia And Neurological Manifestations of TURP Syndrome
The Internet Journal of Anesthesiology, 04/04/07
N. Mehmet Mutlu, MD., et al. – TUR syndrome is a term applied to a constellation of symptoms and signs caused primarily excessive absorption of the irrigating fluid. Irrigant absorption may occur in up to 46% of resections with 5-10% of patients absorbing 1 litre or more. TUR syndrome is observed in 2-10% of all prostate resections Neurologic manifestations, such as restlessness, agitation, confusion, altered sensorium, seizure, and coma, result from water intoxication and dilutional hyponatremia, which collectively produced cerebral edema
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