Hypertonic saline versus fluid restriction: The pitfalls in managing acute hyponatremia in a patient with long‐standing spinal cord injury. Issue 12 (2nd December 2022)

• Record Type: Journal Article
• Authors: Koutroukas, Vaios; Pavlou, Panagiotis; Smith, Emilia Imogen; Ciutac, Andra Maria; Redford, Christopher; Smith, Jamie C.
• Is Part Of: Clinical case reports. Volume 10:Issue 12(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-12-02
• Subjects: antidiuresis -- fluid restriction -- hyponatremia -- spinal cord injury; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.6576
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: 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. Abstract : In patients with spinal cord injury‐induced hyponatremia, it is important to maintain a careful fluid balance to allow adequate intake but avoid over‐hydration, backed up by judicious monitoring of electrolytes.