Acute psychoses: An unusual presentation of empty sella syndrome
We report a case of a 54-year-old female admitted to our hospital with altered behavior. We found that severe hyponatremia (116 mEq/L) was the cause of the patient's status. In turn, hyponatremia was due to panhypopituitarism. Mild-to-moderate hyponatremia had been previously detected in this p...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | CHRISMED Journal of Health and Research |
| Subjects: | |
| Online Access: | http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=3;spage=187;epage=190;aulast=Singhai |
| Summary: | We report a case of a 54-year-old female admitted to our hospital with altered behavior. We found that severe hyponatremia (116 mEq/L) was the cause of the patient's status. In turn, hyponatremia was due to panhypopituitarism. Mild-to-moderate hyponatremia had been previously detected in this patient; however, it was overlooked. The clinical onset of panhypopituitarism is often characterized by mild nonspecific symptoms, especially in the older people, and it is often overlooked. Although hyponatremia is a common electrolyte disorder in the elderly, physicians should not forget that it could be the leading manifestation of panhypopituitarism. Panhypopituitarism may be easily diagnosed; however, clinical suspicion is needed. Due to the high mortality associated with panhypopituitarism, hormone assays should be included in the initial diagnostic workup of hyponatremia. |
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| ISSN: | 2348-3334 2348-506X |