Hyponatremia-Induced Seizure in a Patient With Psychogenic Polydipsia: A Case Report.

Autor: Bafarat AY; General Practice, King Abdulaziz Hospital, Jeddah, SAU., Labban SA; Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU., Alhatmi N; Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU., Aly H; Psychiatry and Behavioral Sciences, King Abdulaziz Hospital, Jeddah, SAU.; Psychiatry and Behavioral Sciences, Sohag University, Sohag, EGY., Bashah DM; Internal Medicine, King Abdulaziz Hospital, Jeddah, SAU., Alshaiki F; Internal Medicine, Saudi Ministry of Health, Jeddah, SAU.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Apr 17; Vol. 15 (4), pp. e37710. Date of Electronic Publication: 2023 Apr 17 (Print Publication: 2023).
DOI: 10.7759/cureus.37710
Abstrakt: Psychogenic polydipsia is a rare condition characterized by overconsumption of water. It can lead to water intoxication, which is potentially a life-threatening situation. Moreover, it usually occurs in patients with mental disorders, mainly schizophrenia. This report discusses a successful treatment of a 16-year-old male with psychogenic polydipsia and delusional disorder presenting to the emergency room with a hyponatremia-induced seizure. After stabilizing the patient, he was referred to a psychologist, and behavioral therapy was conducted. Post-discharge follow-ups revealed that behavioral therapy and the use of self-monitoring technique were effective in controlling the patient's condition. His water intake was reduced from 15 liters per day to three liters per day. This case highlights the importance of psychological assessment for patients with features suggestive of psychogenic polydipsia. It also highlights the need for immediate admission and prompt treatment for such patients as it is a high-risk condition.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Bafarat et al.)
Databáze: MEDLINE