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 |
| _version_ | 1819084160534315008 |
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| author | Abhishek Singhai Karan Kapur Sagar Khadanga Aparna Paramanandam |
| author_facet | Abhishek Singhai Karan Kapur Sagar Khadanga Aparna Paramanandam |
| author_sort | Abhishek Singhai |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T20:44:03Z |
| format | Article |
| id | doaj.art-000e65cc44164c05852bc1e5407f7492 |
| institution | Directory Open Access Journal |
| issn | 2348-3334 2348-506X |
| language | English |
| last_indexed | 2024-12-21T20:44:03Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | CHRISMED Journal of Health and Research |
| spelling | doaj.art-000e65cc44164c05852bc1e5407f74922022-12-21T18:50:53ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2019-01-016318719010.4103/cjhr.cjhr_139_18Acute psychoses: An unusual presentation of empty sella syndromeAbhishek SinghaiKaran KapurSagar KhadangaAparna ParamanandamWe 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.http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=3;spage=187;epage=190;aulast=SinghaiHyponatremiahypopituitarismmetabolic encephalopathy |
| spellingShingle | Abhishek Singhai Karan Kapur Sagar Khadanga Aparna Paramanandam Acute psychoses: An unusual presentation of empty sella syndrome CHRISMED Journal of Health and Research Hyponatremia hypopituitarism metabolic encephalopathy |
| title | Acute psychoses: An unusual presentation of empty sella syndrome |
| title_full | Acute psychoses: An unusual presentation of empty sella syndrome |
| title_fullStr | Acute psychoses: An unusual presentation of empty sella syndrome |
| title_full_unstemmed | Acute psychoses: An unusual presentation of empty sella syndrome |
| title_short | Acute psychoses: An unusual presentation of empty sella syndrome |
| title_sort | acute psychoses an unusual presentation of empty sella syndrome |
| topic | Hyponatremia hypopituitarism metabolic encephalopathy |
| url | http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=3;spage=187;epage=190;aulast=Singhai |
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