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...

पूर्ण विवरण

में बचाया:
ग्रंथसूची विवरण
मुख्य लेखक: Flores-Mora , Jeremy (author)
अन्य लेखक: Ochoa-Andrade, Miguel Jacob (author), Jurado-Juna, Mikaela (author), Segovia-Laura , Renata (author), Guerrero-González, Joseph (author)
स्वरूप: article
भाषा:spa
प्रकाशित: 2024
विषय:
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