Hyponatremia and traumatic brain injury, an important association. Case report
Introduction: Hyponatremia is found to be associated with approximately 10% of patients with traumatic brain injury. Despite its low frequency, the clinical intuition regarding this relationship underscores its significance in this case report. Objective: Describe the association between hyponatremi...
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स्वरूप: | article |
भाषा: | spa |
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2024
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ऑनलाइन पहुंच: | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/6682 |
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author | Flores-Mora , Jeremy |
author2 | Ochoa-Andrade, Miguel Jacob Jurado-Juna, Mikaela Segovia-Laura , Renata Guerrero-González, Joseph |
author2_role | author author author author |
author_facet | Flores-Mora , Jeremy Ochoa-Andrade, Miguel Jacob Jurado-Juna, Mikaela Segovia-Laura , Renata Guerrero-González, Joseph |
author_role | author |
collection | Revista Ciencias Médicas |
dc.creator.none.fl_str_mv | Flores-Mora , Jeremy Ochoa-Andrade, Miguel Jacob Jurado-Juna, Mikaela Segovia-Laura , Renata Guerrero-González, Joseph |
dc.date.none.fl_str_mv | 2024-05-27 |
dc.format.none.fl_str_mv | application/pdf |
dc.identifier.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/6682 10.29166/rfcmq.v49i2.6682 |
dc.language.none.fl_str_mv | spa |
dc.publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
dc.relation.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/6682/8342 |
dc.rights.none.fl_str_mv | Derechos de autor 2024 Miguel Jacob Ochoa-Andrade http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
dc.source.none.fl_str_mv | Revista de la Facultad de Ciencias Médicas (Quito); Vol. 49 No. 2 (2024): Revista de la Facultad de Ciencias Médicas (Quito); 59-64 Revista de la Facultad de Ciencias Médicas (Quito); Vol. 49 Núm. 2 (2024): Revista de la Facultad de Ciencias Médicas (Quito); 59-64 2737-6141 2588-0691 reponame:Revista Ciencias Médicas instname:Universidad Central del Ecuador instacron:UCE |
dc.subject.none.fl_str_mv | hiponatremia traumatismo craneoencefálico diagnóstico clínico informe de caso hyponatremia brain injuries, traumatic clinical diagnosis case report |
dc.title.none.fl_str_mv | Hyponatremia and traumatic brain injury, an important association. Case report Hiponatremia y traumatismo craneoencefálico, una asociación importante. Reporte de caso |
dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo evaluado por pares |
description | Introduction: Hyponatremia is found to be associated with approximately 10% of patients with traumatic brain injury. Despite its low frequency, the clinical intuition regarding this relationship underscores its significance in this case report. Objective: Describe the association between hyponatremia and traumatic brain injury, aiming to enhance healthcare professionals' understanding of this correlation and to advocate for the implementation of more effective diagnostic and management strategies based on updated biochemical and anatomical predictions. Case Presentation: A young adult male patient with a history of two traumatic brain injuries, severe serum hyponatremia, and persistent symptoms of dizziness and headache, treated with loop diuretics and oral sodium chloride, exhibited improvement after twenty days of hospitalization. Discussion: Certain neurological alterations with evident clinical manifestation are characterized by low levels of serum sodium, possibly stemming from distinct anatomical and physiological causes. A causal relationship with a poorly described pathophysiological mechanism between hyponatremia and traumatic brain injury has been suggested. Conclusion: Meticulous monitoring is imperative for patients with severe hyponatremia, even when clinical symptoms are minimal, as observed in this case. Furthermore, emphasis is placed on the need to investigate metabolic pathways that may be affected by traumatic brain injuries, potentially exerting a direct impact on blood sodium levels. |
eu_rights_str_mv | openAccess |
format | article |
id | REVCMED_5f23d63d1f0804e401d8f1d3b97070ee |
identifier_str_mv | 10.29166/rfcmq.v49i2.6682 |
instacron_str | UCE |
institution | UCE |
instname_str | Universidad Central del Ecuador |
language | spa |
network_acronym_str | REVCMED |
network_name_str | Revista Ciencias Médicas |
oai_identifier_str | oai:revistadigital.uce.edu.ec:article/6682 |
publishDate | 2024 |
publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
reponame_str | Revista Ciencias Médicas |
repository.mail.fl_str_mv | * |
repository.name.fl_str_mv | Revista Ciencias Médicas - Universidad Central del Ecuador |
repository_id_str | * |
rights_invalid_str_mv | Derechos de autor 2024 Miguel Jacob Ochoa-Andrade http://creativecommons.org/licenses/by-nc-nd/4.0 |
spelling | Hyponatremia and traumatic brain injury, an important association. Case reportHiponatremia y traumatismo craneoencefálico, una asociación importante. Reporte de casoFlores-Mora , JeremyOchoa-Andrade, Miguel JacobJurado-Juna, MikaelaSegovia-Laura , RenataGuerrero-González, Josephhiponatremiatraumatismo craneoencefálicodiagnóstico clínicoinforme de casohyponatremiabrain injuries, traumaticclinical diagnosiscase reportIntroduction: Hyponatremia is found to be associated with approximately 10% of patients with traumatic brain injury. Despite its low frequency, the clinical intuition regarding this relationship underscores its significance in this case report. Objective: Describe the association between hyponatremia and traumatic brain injury, aiming to enhance healthcare professionals' understanding of this correlation and to advocate for the implementation of more effective diagnostic and management strategies based on updated biochemical and anatomical predictions. Case Presentation: A young adult male patient with a history of two traumatic brain injuries, severe serum hyponatremia, and persistent symptoms of dizziness and headache, treated with loop diuretics and oral sodium chloride, exhibited improvement after twenty days of hospitalization. Discussion: Certain neurological alterations with evident clinical manifestation are characterized by low levels of serum sodium, possibly stemming from distinct anatomical and physiological causes. A causal relationship with a poorly described pathophysiological mechanism between hyponatremia and traumatic brain injury has been suggested. Conclusion: Meticulous monitoring is imperative for patients with severe hyponatremia, even when clinical symptoms are minimal, as observed in this case. Furthermore, emphasis is placed on the need to investigate metabolic pathways that may be affected by traumatic brain injuries, potentially exerting a direct impact on blood sodium levels.Introducción: La hiponatremia se encuentra asociada aproximadamente con el 10% de los pacientes con traumatismo craneoencefálico, su baja frecuencia y la intuición clínica de esta relación la hace importante en el presente informe de caso. Objetivo: Describir la asociación de la hiponatremia con el traumatismo craneoencefálico con la finalidad de mejorar la comprensión de esta relación en el personal de salud y promover la implementación de estrategias de diagnóstico y manejo más efectivas basadas en predicciones bioquímicas y anatómicas actualizadas. Presentación del caso: Paciente masculino, adulto joven, con antecedentes de dos traumatismos craneoencefálicos, con hiponatremia sérica severa y síntomas persistentes de mareo y cefalea, tratado con diuréticos de asa y cloruro de sodio vía oral, con mejoría posterior al vigésimo día de hospitalización. Discusión: Ciertas alteraciones neurológicas con manifestación clínica evidente, se presentan por bajos niveles de sodio sérico, o por causas anatómicas y fisiológicas diferentes. Se ha demostrado una relación causal con mecanismo fisiopatológico no bien descrito sobre la hiponatremia y el traumatismo craneoencefálico. Conclusión: Es crucial tener una vigilancia meticulosa en pacientes con hiponatremia severa, aunque presenten pocos síntomas clínicos (considerando antecedentes como el traumatismo craneoencefálico en la anamnesis inicial y de seguimiento) como en este caso. Además, se destaca la necesidad de investigar las vías metabólicas que podrían verse afectadas por traumatismos craneoencefálicos, y que podrían tener un impacto directo en los niveles de sodio en sangre.Quito: Universidad Central del Ecuador2024-05-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtículo evaluado por paresapplication/pdfhttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/668210.29166/rfcmq.v49i2.6682Revista de la Facultad de Ciencias Médicas (Quito); Vol. 49 No. 2 (2024): Revista de la Facultad de Ciencias Médicas (Quito); 59-64Revista de la Facultad de Ciencias Médicas (Quito); Vol. 49 Núm. 2 (2024): Revista de la Facultad de Ciencias Médicas (Quito); 59-642737-61412588-0691reponame:Revista Ciencias Médicasinstname:Universidad Central del Ecuadorinstacron:UCEspahttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/6682/8342Derechos de autor 2024 Miguel Jacob Ochoa-Andradehttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccess2025-03-19T18:13:48Zoai:revistadigital.uce.edu.ec:article/6682Portal de revistashttps://revistadigital.uce.edu.ec/Universidad públicahttps://uce.edu.ec/**Ecuador*2737-61412588-0691opendoar:*2025-03-19T18:13:48Revista Ciencias Médicas - Universidad Central del Ecuadorfalse |
spellingShingle | Hyponatremia and traumatic brain injury, an important association. Case report Flores-Mora , Jeremy hiponatremia traumatismo craneoencefálico diagnóstico clínico informe de caso hyponatremia brain injuries, traumatic clinical diagnosis case report |
status_str | publishedVersion |
title | Hyponatremia and traumatic brain injury, an important association. Case report |
title_full | Hyponatremia and traumatic brain injury, an important association. Case report |
title_fullStr | Hyponatremia and traumatic brain injury, an important association. Case report |
title_full_unstemmed | Hyponatremia and traumatic brain injury, an important association. Case report |
title_short | Hyponatremia and traumatic brain injury, an important association. Case report |
title_sort | Hyponatremia and traumatic brain injury, an important association. Case report |
topic | hiponatremia traumatismo craneoencefálico diagnóstico clínico informe de caso hyponatremia brain injuries, traumatic clinical diagnosis case report |
url | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/6682 |