Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury

Spinal cord injury‐induced hyponatremia is an under‐recognized entity, without a mention in the European hyponatremia guidelines. We present a case of a 56‐year‐old female quadraplegic patient with cervical cord injury, presenting with severe hyponatremia and tonic–clonic seizures. This case highlig...

Descripción completa

Detalles Bibliográficos
Autores principales: Koutroukas, Vaios, Pavlou, Panagiotis, Smith, Emilia Imogen, Ciutac, Andra Maria, Redford, Christopher, Smith, Jamie C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718915/
https://www.ncbi.nlm.nih.gov/pubmed/36478973
http://dx.doi.org/10.1002/ccr3.6576
_version_ 1784843198331355136
author Koutroukas, Vaios
Pavlou, Panagiotis
Smith, Emilia Imogen
Ciutac, Andra Maria
Redford, Christopher
Smith, Jamie C.
author_facet Koutroukas, Vaios
Pavlou, Panagiotis
Smith, Emilia Imogen
Ciutac, Andra Maria
Redford, Christopher
Smith, Jamie C.
author_sort Koutroukas, Vaios
collection PubMed
description Spinal cord injury‐induced hyponatremia is an under‐recognized entity, without a mention in the European hyponatremia guidelines. We present a case of a 56‐year‐old female quadraplegic patient with cervical cord injury, presenting with severe hyponatremia and tonic–clonic seizures. This case highlights the challenges in medical management; action mechanisms are further discussed.
format Online
Article
Text
id pubmed-9718915
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-97189152022-12-06 Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury Koutroukas, Vaios Pavlou, Panagiotis Smith, Emilia Imogen Ciutac, Andra Maria Redford, Christopher Smith, Jamie C. Clin Case Rep Case Report Spinal cord injury‐induced hyponatremia is an under‐recognized entity, without a mention in the European hyponatremia guidelines. We present a case of a 56‐year‐old female quadraplegic patient with cervical cord injury, presenting with severe hyponatremia and tonic–clonic seizures. This case highlights the challenges in medical management; action mechanisms are further discussed. John Wiley and Sons Inc. 2022-12-02 /pmc/articles/PMC9718915/ /pubmed/36478973 http://dx.doi.org/10.1002/ccr3.6576 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Koutroukas, Vaios
Pavlou, Panagiotis
Smith, Emilia Imogen
Ciutac, Andra Maria
Redford, Christopher
Smith, Jamie C.
Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
title Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
title_full Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
title_fullStr Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
title_full_unstemmed Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
title_short Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
title_sort hypertonic saline versus fluid restriction: the pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718915/
https://www.ncbi.nlm.nih.gov/pubmed/36478973
http://dx.doi.org/10.1002/ccr3.6576
work_keys_str_mv AT koutroukasvaios hypertonicsalineversusfluidrestrictionthepitfallsinmanagingacutehyponatremiainapatientwithlongstandingspinalcordinjury
AT pavloupanagiotis hypertonicsalineversusfluidrestrictionthepitfallsinmanagingacutehyponatremiainapatientwithlongstandingspinalcordinjury
AT smithemiliaimogen hypertonicsalineversusfluidrestrictionthepitfallsinmanagingacutehyponatremiainapatientwithlongstandingspinalcordinjury
AT ciutacandramaria hypertonicsalineversusfluidrestrictionthepitfallsinmanagingacutehyponatremiainapatientwithlongstandingspinalcordinjury
AT redfordchristopher hypertonicsalineversusfluidrestrictionthepitfallsinmanagingacutehyponatremiainapatientwithlongstandingspinalcordinjury
AT smithjamiec hypertonicsalineversusfluidrestrictionthepitfallsinmanagingacutehyponatremiainapatientwithlongstandingspinalcordinjury

Ejemplares similares