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Die Wasserhom\u00f6ostase wird durch das Zusammenspiel von Nierenfunktion und den zerebralen Strukturen des Durstempfindens und der Produktion des antidiuretischen Hormons aufrechterhalten. Durch die Messung der Serum-Osmolalit\u00e4t, Harn-Osmolalit\u00e4t und Harn- Natriumkonzentration k\u00f6nnen die meisten Ursachen der Hyponatri\u00e4mie identifiziert werden. Hyponatri\u00e4mien f\u00fchren zu einem Hirn\u00f6dem und k\u00f6nnen damit schwere neurologische Symptome verursachen, welche eine akute Therapie ben\u00f6tigen. Aber auch milde Formen der Hyponatri\u00e4mie bed\u00fcrfen einer, wenn m\u00f6glich kausalen, oder zumindest symptomatischen Behandlung. Eine inad\u00e4quat rasche Korrektur der Hyponatri\u00e4mie sollte vermieden werden, da diese das Risiko f\u00fcr ein zerebrale osmotische Demyelinisierung erh\u00f6ht. Da die Art der Therapie eng mit der Ursache der Hyponatri\u00e4mie zusammenh\u00e4ngt, ist eine Grundkenntnis der pathophysiologischen Prozesse f\u00fcr eine optimale Behandlung notwendig.<\/jats:p>","DOI":"10.1007\/s00508-024-02325-5","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T16:02:28Z","timestamp":1709222548000},"page":"1-33","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Konsensusempfehlungen zur Diagnose und Therapie der Hyponatri\u00e4mie der \u00d6sterreichischen Gesellschaft f\u00fcr Nephrologie 2024","Consensus recommendations on the diagnosis and treatment of hyponatremia from the Austrian Society for Nephrology 2024"],"prefix":"10.1007","volume":"136","author":[{"given":"Christoph","family":"Schwarz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor","family":"Lindner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Windpessl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"Knechtelsdorfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus D.","family":"Saemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"issue":"2","key":"2325_CR1","doi-asserted-by":"publisher","first-page":"i1","DOI":"10.1093\/ndt\/gfu040","volume":"29","author":"G Spasovski","year":"2014","unstructured":"Spasovski\u00a0G, Vanholder\u00a0R, Allolio\u00a0B, et\u00a0al. 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