Partial Empty Sella Syndrome Presenting to Emergency as a Case of Recurrent Hyponatremia: A Rare Presentation
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Electrolyte disturbance is a common finding in elderly individuals presenting to emergency with disturbed level of consciousness and hyponatremia is one of the commonest cause associated with lots of other clinical disorders . Most of these cases managed conservatively with sodium replacement and got discharged after correction of dyselectrolytaemia.Hyponatremia as the presenting manifestation of Empty sella syndrome (ESS) is rare. There is little clinical experience in the management and diagnosis of this problem and patient tends to present repeatedly to emergency due to electrolyte disturbances. We hereby report a case of 51 year old female with past history of CAD undergone coronary intervention presenting to emergency with diffuse pain abdomen,unable to pass flatus and vomiting mimicking symptoms of subacute intestinal obstruction found to have Recurrent hyponatremia during her hospital stay due to Partial Empty sella syndrome (ESS) .
Authors and Affiliations
Kishalay Datta
Keywords
Related Articles
- EP ID EP453165
- DOI 10.21088/ijem.2395.311X.3117.22
- Views 91
- Downloads 0
Clinical Profile of Patients Admitted with Liver Cirrhosis and its Association with Portal Hypertension and Hematological Abnormalities
Background and Objectives: Portal hypertension (PHT) commonly accompanies cirrhosis of liver. Development of esophageal varices is one of the major complications of PHT. Present study was performed with objectives to stu...
To Study the Level, Pattern and the Risk Factors of Polypharmacy among Elderly Admitted in a Tertiary Care Centre
Background: The proportion of older adults exposed to polypharmacy defined as use of multiple medications, is rapidly increasing in the last two decades. There are many negative medical consequences associated with polyp...
A Study of Systemic Factors Affecting Mortality and Morbidity of Traumatic Brain Injury
Head injury is a devastating problem worldwide including India. Loss of young people at their productive years is a great emotional and financial concern for the families affected by it which contributes to the economic...
A Rare Serious Ocular Side Effect of Topiramate: Bilateral Acute Angle Closure Glaucoma
Topiramate is an anticonvulsant drug which is also used for migraine prophylaxis. It has many neurological and psychiatric side effects in addition to diarrhoea and weight loss. It can cause serious ocular side effects l...
Gender Bias in Dengue The Lab Perspective
Background: Dengue infection can occur as epidemics in India. If early treatment is not instituted it has high mortality. Currently there is no specific antiviral drug or vaccine available for treatment of dengue, preven...