Consciousness disturbance associated with severe hyponatremia: A case report

Arif Duran; Tarik Ocak; Ümit Tekelioğlu; Hikmet Tekce; Akcan Akkaya; Abdullah Demirhan; Gülali Aktaş

doi:10.5835/jecm.omu.30.01.021

Research Article

Consciousness disturbance associated with severe hyponatremia: A case report

Year 2013, , 89 - 91, 26.03.2013

Arif Duran , Tarik Ocak , Ümit Tekelioğlu , Hikmet Tekce , Akcan Akkaya Abdullah Demirhan , Gülali Aktaş

https://doi.org/10.5835/jecm.omu.30.01.021

Abstract

Hyponatremia; a serious electrolyte disorder, frequently develops in the elderly and hospitalized patients with heart failure. Hyponatremia in patients with heart failure is usually in hypervolemic form characterized by increased total body sodium and water. However, rarely, hypovolemic hyponatremia associated with actual sodium loss may occur in the clinical course. We present an extremely hypovolemic hyponatremia case in a patient with severe heart failure. Serum sodium value of the patient was 101mEq/L; which is exceptionally compatible with life.

Keywords

Consciousness disturbance, Diuretic treatment, Hyponatremia, Hypovolemia

References

Akman, S., Güven, A.G., 2001. Hiponatremi: Klinik değerlendirme ve tedavi. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 10, 68-72.
Bhardwaj, A., 2006. Neurological impact of vasopressin dysregulation and hyponatremia. Ann. Neurol. 59, 229-236.
Goh, K.P., 2004. Management of hyponatremia. Am Fam Physician. 69, 2387-2394.
Hoorn, E.J., Lindemans, J., Zietse, R., 2006. Development of severe hyponatraemia in hospitalized patients: Treatment-related risk factors and inadequate management.. Nephrol. Dial. Transplant. 21, 70-76.
Kinoshita, H., Kobayashi, K., Yaguramaki, T., Yasuda, M., Fujiki, K., Tomiyama, J. Yakushiji, F., 2011. Losartan potassium/hydrochlorothiazide (Preminent®) and hyponatremia: Case series of 40 patients. Hum. Exp.Toxicol. 30, 1409-1414.
Vaidya, C., Ho, W., Freda, B.J., 2010. Management of hyponatremia: Providing treatment and avoiding harm. Cleve Clin. J. Med. 77, 7157
Woo, Y.C., Kang, H., Cha, S.M., Jung, Y.H., Kim, J.Y., Koo, G.H., Baek, C.W., 2011. Severe intraoperative hyponatremia associated with the

Year 2013, , 89 - 91, 26.03.2013

Arif Duran , Tarik Ocak , Ümit Tekelioğlu , Hikmet Tekce , Akcan Akkaya Abdullah Demirhan , Gülali Aktaş

https://doi.org/10.5835/jecm.omu.30.01.021

Abstract

References

Akman, S., Güven, A.G., 2001. Hiponatremi: Klinik değerlendirme ve tedavi. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 10, 68-72.
Bhardwaj, A., 2006. Neurological impact of vasopressin dysregulation and hyponatremia. Ann. Neurol. 59, 229-236.
Goh, K.P., 2004. Management of hyponatremia. Am Fam Physician. 69, 2387-2394.
Hoorn, E.J., Lindemans, J., Zietse, R., 2006. Development of severe hyponatraemia in hospitalized patients: Treatment-related risk factors and inadequate management.. Nephrol. Dial. Transplant. 21, 70-76.
Kinoshita, H., Kobayashi, K., Yaguramaki, T., Yasuda, M., Fujiki, K., Tomiyama, J. Yakushiji, F., 2011. Losartan potassium/hydrochlorothiazide (Preminent®) and hyponatremia: Case series of 40 patients. Hum. Exp.Toxicol. 30, 1409-1414.
Vaidya, C., Ho, W., Freda, B.J., 2010. Management of hyponatremia: Providing treatment and avoiding harm. Cleve Clin. J. Med. 77, 7157
Woo, Y.C., Kang, H., Cha, S.M., Jung, Y.H., Kim, J.Y., Koo, G.H., Baek, C.W., 2011. Severe intraoperative hyponatremia associated with the

There are 7 citations in total.

Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Internal Medical Sciences
Authors	Arif Duran Tarik Ocak Ümit Tekelioğlu Hikmet Tekce Akcan Akkaya This is me Abdullah Demirhan Gülali Aktaş
Publication Date	March 26, 2013
Submission Date	December 14, 2012
Published in Issue	Year 2013

Cite

APA	Duran, A., Ocak, T., Tekelioğlu, Ü., Tekce, H., et al. (2013). Consciousness disturbance associated with severe hyponatremia: A case report. Journal of Experimental and Clinical Medicine, 30(1), 89-91. https://doi.org/10.5835/jecm.omu.30.01.021
AMA	Duran A, Ocak T, Tekelioğlu Ü, Tekce H, Akkaya A, Demirhan A, Aktaş G. Consciousness disturbance associated with severe hyponatremia: A case report. J. Exp. Clin. Med. March 2013;30(1):89-91. doi:10.5835/jecm.omu.30.01.021
Chicago	Duran, Arif, Tarik Ocak, Ümit Tekelioğlu, Hikmet Tekce, Akcan Akkaya, Abdullah Demirhan, and Gülali Aktaş. “Consciousness Disturbance Associated With Severe Hyponatremia: A Case Report”. Journal of Experimental and Clinical Medicine 30, no. 1 (March 2013): 89-91. https://doi.org/10.5835/jecm.omu.30.01.021.
EndNote	Duran A, Ocak T, Tekelioğlu Ü, Tekce H, Akkaya A, Demirhan A, Aktaş G (March 1, 2013) Consciousness disturbance associated with severe hyponatremia: A case report. Journal of Experimental and Clinical Medicine 30 1 89–91.
IEEE	A. Duran, T. Ocak, Ü. Tekelioğlu, H. Tekce, A. Akkaya, A. Demirhan, and G. Aktaş, “Consciousness disturbance associated with severe hyponatremia: A case report”, J. Exp. Clin. Med., vol. 30, no. 1, pp. 89–91, 2013, doi: 10.5835/jecm.omu.30.01.021.
ISNAD	Duran, Arif et al. “Consciousness Disturbance Associated With Severe Hyponatremia: A Case Report”. Journal of Experimental and Clinical Medicine 30/1 (March 2013), 89-91. https://doi.org/10.5835/jecm.omu.30.01.021.
JAMA	Duran A, Ocak T, Tekelioğlu Ü, Tekce H, Akkaya A, Demirhan A, Aktaş G. Consciousness disturbance associated with severe hyponatremia: A case report. J. Exp. Clin. Med. 2013;30:89–91.
MLA	Duran, Arif et al. “Consciousness Disturbance Associated With Severe Hyponatremia: A Case Report”. Journal of Experimental and Clinical Medicine, vol. 30, no. 1, 2013, pp. 89-91, doi:10.5835/jecm.omu.30.01.021.
Vancouver	Duran A, Ocak T, Tekelioğlu Ü, Tekce H, Akkaya A, Demirhan A, Aktaş G. Consciousness disturbance associated with severe hyponatremia: A case report. J. Exp. Clin. Med. 2013;30(1):89-91.