Hyperacute hyponatremia mimicking acute ischemic stroke

被引：4

作者：

Balbi, Alanna ^{[1
]}

Sadowski, Jennifer A. ^{[1
]}

Torrens, Daniel ^{[1
]}

Jacoby, Jeanne L. ^{[1
]}

Yacoub, Hussam A. ^{[2
]}

Eygnor, Jessica K. ^{[1
]}

机构：

[1] Lehigh Valley Hlth Network, Dept Emergency & Hosp Med, USF Morsani Coll Med, Cedar Crest Blvd & I-78, Allentown, PA 18103 USA

[2] Lehigh Valley Hlth Network, Dept Neurol, Cedar Crest Blvd & I-78, Allentown, PA 18103 USA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2022年 / 51卷

关键词：

Hyperacute hyponatremia; Stroke;

D O I：

10.1016/j.ajem.2021.07.017

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We present a case of hyperacute hyponatremia with stroke like symptoms on presentation. Symptoms included confusion, left-sided facial droop, right-sided hemiparesis, dysarthria and aphasia, with an NIH stroke score of 5. Sodium level at the time of presentation was 119 mmol/L which dropped acutely from 138 mmol/L seven hours prior. Symptoms improved after treatment with 3% saline and no evidence of stroke, intracranial hemorrhage or space-occupying lesionwas seen on imaging. Themost likely cause of the hyponatremiawas increased freewater consumption and ADH surge. The patient remained symptom free after discharge with resolution of hyponatremia. Acute hyponatremia can cause focal neurological complaints and deficits, mimicking acute ischemic stroke. We advise clinicians to be aware of this entity when considering interventions for possible acute ischemic stroke and evaluating a patient with focal neurological deficits. (c) 2021 Elsevier Inc. All rights reserved.

引用

页码：428.e5 / 428.e7

页数：3

共 13 条

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