Hyponatremic encephalopathy after excessive water ingestion prior to pelvic ultrasound: Neuroimaging findings

Internal Medicine

Volumn 49, Issue 16, 2010, Pages 1807-1811

  Yalcin Cakmakli, Gul ^a   Oguz, Kader Karli ^a   Shorbagi, Ali ^a   Bas, Demet Funda ^a   Ergan Arsava, Begum ^a   Kunt, Mahir ^a   Topcuoglu, Mehmet Akif ^a  

^a HACETTEPE UNIVERSITY   (Turkey)

Author keywords

Acute hyponatremia; Diffusion weighted imaging; Encephalopathy; Magnetic resonance imaging; Seizure; Serum inappropriate ADH syndrome; Water intoxication

Indexed keywords

ESCITALOPRAM; ORNIDAZOLE; SODIUM;

ADULT; ARTICLE; BEDTIME DOSAGE; BLADDER DISTENSION; BLOOD ANALYSIS; BLOOD BRAIN BARRIER; BRAIN BLOOD FLOW; BRAIN CORTEX; BRAIN DISEASE; BRAIN EDEMA; CASE REPORT; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; DEPRESSION; DIFFUSION WEIGHTED IMAGING; ECHOGRAPHY; FEMALE; FLUID INTAKE; HIGH RISK PATIENT; HOSPITAL ADMISSION; HUMAN; HYPONATREMIA; INAPPROPRIATE VASOPRESSIN SECRETION; LUMBAR PUNCTURE; NEUROIMAGING; NEUROLOGIC EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; UNCONSCIOUSNESS; URINALYSIS; VAGINA DISCHARGE;

ADULT; BRAIN EDEMA; DIFFUSION MAGNETIC RESONANCE IMAGING; DRINKING; FEMALE; HUMANS; HYPONATREMIA; PELVIS; WATER INTOXICATION;

EID: 77956206654     PISSN: 09182918     EISSN: 13497235     Source Type: Journal    
DOI: 10.2169/internalmedicine.49.3395     Document Type: Article

References (22)

1. Rendell M, McGrane D, Cuesta M. Fatal compulsive water drinking. JAMA 240: 2557-2559, 1978.
2. Anastassiades E, Wilson R, Stewart JS, Perkin GD. Fatal brain oedema due to accidental water intoxication. Br Med J (Clin Res Ed) 287: 1181-1182, 1983.
3. Rabinstein AA, Wijdicks EF. Hyponatremia in critically ill neurological patients. Neurologist 9: 290-300, 2003.
4. Bhananker SM, Paek R, Vavilala MS. Water intoxication and symptomatic hyponatremia after outpatient surgery. Anesth Analg 98: 1294-1296, 2004.
5. Vishwajeet S, Aneesh S. Water intoxication leading to hyponatremia and seizures: a rare complication of uroflowmetry. Int Urol Nephrol 37: 275-276, 2005.
6. Hiramatsu R, Takeshita A, Taguchi M, Takeuchi Y. Symptomatic hyponatremia after voluntary excessive water ingestion in a patient without psychiatric problems. Endocr J 54: 643-645, 2007.
7. Dundas B, Harris M, Narasimhan M. Psychogenic polydipsia review: etiology, differential, and treatment. Curr Psychiatry Rep 9: 236-241, 2007.
8. Frizzell RT, Lang GH, Lowance DC, Lathan SR. Hyponatremia and ultramarathon running. JAMA 255: 772-774, 1986.
9. Christenson LL, Scott D. Acute water intoxication following pelvic ultrasound examination. Postgrad Med 77: 161-162, 1985.
10. Kott E, Marcus Y. Acute brain edema due to water loading in a young woman. Eur Neurol 24: 221-224, 1985.
11. Lipsky MS, Zabak DL. Hyponatremia resulting from pelvic ultrasound preparation. J Fam Pract 25: 216-217, 1987.
12. Shapira I, Isakov A, Almog C. Hyponatremia as the result of preparation for abdominal ultrasound examination. J Clin Ultrasound 16: 61-62, 1988.
13. Bhargava R, Lewandowski BJ. Water intoxication: a complication of pelvic US in a patient with syndrome of inappropriate antidiuretic hormone secretion. Radiology 180: 723-734, 1991.
14. Gopal S, Blum A. Iatrogenic hyponatremic seizures after routine pelvic ultrasonic imaging. J Am Board Fam Pract 13: 451-454, 2000.
15. Sevick RJ, Kanda F, Mintorovitch J, et al. Cytotoxic brain edema: assessment with diffusion-weighted MR imaging. Radiology 185: 687-690, 1992.
16. Nahshoni E, Weizman A, Shefat D, Pik N. A case of hyponatremia associated with escitalopram. J. Clin. Psychiatry 65: 1722, 2004.
17. Grover S, Biswas P, Bhateja G, Kulhara P. Escitalopramassociated hyponatremia. Psychiatry Clin Neurosci 61: 132-133, 2007.
18. Covyeou JA, Jackson CW. Hyponatremia associated with escitalopram. N Engl J Med 356: 94-95, 2007.
19. Nirmalani A, Stock SL, Catalano G. Syndrome of inappropriate antidiuretic hormone associated with escitalopram therapy. CNS Spectr 11: 429-432, 2006.
20. Fraser CL, Areiff AI. Epidemiology, pathophysiology, and management of hyponatremic encephalopathy. Am J Med 102: 67-77, 1997.
21. Adler S, Williams D, Verbalis JG. Effect of acute and chronic hyponatremia on blood-brain barrier function in the rat. NMR Biomed 6: 119-124, 1993.
22. Oztaş B, Koçak H, Oner P, Küçük M. Sex-dependent changes in blood-brain barrier permeability and brain NA(+),K(+) ATPase activity in rats following acute water intoxication. J Neurosci Res 62: 750-753, 2000.