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- W3002374487 abstract "Hyponatremia is the most commonly observed electrolyte disturbance in clinical medicine. Occasionally the initial presentation of a patient with a symptomatic hyponatremia is a seizure or coma. This life-threatening complication needs early diagnosis and immediate treatment. Here, we report a case of a 27-year-old man who presented with an epileptic seizure, lactate acidosis and sulcal effacement on CT in which a transient sodium increase masked a clinically relevant hyponatremia thereby delaying diagnosis. This phenomenon is caused by an extracellular water shift and can occur when blood analysis is performed shortly after vigorous exercise or a seizure. This case provides awareness for a less well-known cause of plasma sodium increase and offers recommendations to prevent misinterpretation and help clinicians in decision making." @default.
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- W3002374487 date "2020-01-01" @default.
- W3002374487 modified "2023-09-26" @default.
- W3002374487 title "Transient seizure-induced sodium increase camouflaging a symptomatic hyponatremia" @default.
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- W3002374487 doi "https://doi.org/10.1136/bcr-2019-229328" @default.
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