Dilutional hyponatremia and convulsions after strenuous exercise

M. Geist, Nir Barzilai

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 15-year-old girl who drank excessive amounts of water while walking in the desert on a warm day, is reported. Due to complaints of fatigue and headache she was treated with more fluids and had a generalized seizure. On admission her sodium level was 125 meq/l and serum muscle enzymes were increased. Hyponatremia due to exertion and dilution is well established and may be more common than thought. It can present as a generalized seizure and with rhabdomyolysis. This case illustrates the danger of overzealous water replacement, especially without adequate replacement of salts. When water discipline is in force this possibility should be considered in patients presenting after prolonged, strenuous exercise or marching.

Original languageEnglish (US)
Pages (from-to)420-421, 480, 479
JournalHarefuah
Volume122
Issue number7
StatePublished - Apr 1 1992
Externally publishedYes

Fingerprint

Hyponatremia
Seizures
Exercise
Water
Rhabdomyolysis
Walking
Fatigue
Headache
Salts
Sodium
Muscles
Enzymes
Serum

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dilutional hyponatremia and convulsions after strenuous exercise. / Geist, M.; Barzilai, Nir.

In: Harefuah, Vol. 122, No. 7, 01.04.1992, p. 420-421, 480, 479.

Research output: Contribution to journalArticle

Geist, M & Barzilai, N 1992, 'Dilutional hyponatremia and convulsions after strenuous exercise', Harefuah, vol. 122, no. 7, pp. 420-421, 480, 479.
Geist, M. ; Barzilai, Nir. / Dilutional hyponatremia and convulsions after strenuous exercise. In: Harefuah. 1992 ; Vol. 122, No. 7. pp. 420-421, 480, 479.
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