The importance of hyponatremia in patients with neurological symptoms

Authors

  • Virginia García-Bermudez Internal Medicine Department, Fuenlabrada University Hospital, Madrid, Spain https://orcid.org/0000-0002-8197-2789
  • Idoia Pagai-Valcárcel Internal Medicine Department, Fuenlabrada University Hospital, Madrid, Spain
  • Aída Izquierdo-Martínez Internal Medicine Department, Fuenlabrada University Hospital, Madrid, Spain
  • Adriana Puente-García Nephrology Department, Fuenlabrada University Hospital, Madrid, Spain https://orcid.org/0009-0002-8604-9560
  • Ramón Jesús Miranda-Hernández Nephrology Department, Fuenlabrada University Hospital, Madrid, Spain https://orcid.org/0009-0007-6382-3556

DOI:

https://doi.org/10.32818/reccmi.a9s1a10

Keywords:

hyponatremia, inappropriate ADH syndrome, urea

Abstract

We present a frequent situation that should always be considered, consisting of the appearance of neurological symptoms in a patient with severe hyponatremia, initially of unknown origin. It is important to rule out potentially treatable acute causes and possible side effects of drugs commonly used, such as selective serotonin reuptake inhibitors. The rapid identification of this type of problem allows early treatment to avoid further complications. Urea is a safe and useful drug for treating hyponatremia secondary to syndrome of inappropriate antidiuretic hormone secretion (SIADH), particularly in elderly and multi-pathological patients.

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References

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Mentrasti G, Scortichini L, Torniai M, Giampieri R, Morgese F, Rinaldi S, et al. Syndrome of inappropriate antidiuretic hormone secretion (SIADH): optimal management. Ther Clin Risk Manag. 2020; 2020(16): 663–672. doi: https://doi.org/10.2147/TCRM.S206066 (último acceso oct. 2024). DOI: https://doi.org/10.2147/TCRM.S206066

Perelló-Camacho E, Pomares-Gómez FJ, López-Penabad L, Mirete-López RM, Pinedo-Esteban MR, Domínguez-Escribano JR. Clinical efficacy of urea treatment in syndrome of inappropriate antidiuretic hormone secretion. Sci Rep. 2022; 12(1): 10266. doi: https://doi.org/10.1038/s41598-022-14387-4 (último acceso oct. 2024). DOI: https://doi.org/10.1038/s41598-022-14387-4

Published

2024-11-30

How to Cite

1.
García-Bermudez V, Pagai-Valcárcel I, Izquierdo-Martínez A, Puente-García A, Miranda-Hernández RJ. The importance of hyponatremia in patients with neurological symptoms. Rev Esp Casos Clin Med Intern [Internet]. 2024 Nov. 30 [cited 2024 Dec. 26];9(Supl. 1):26-8. Available from: https://www.reccmi.com/RECCMI/article/view/1064