title: Behavioural induced severe hypernatremia without neurological manifestations.
abstract: Hypernatremia is a relatively common entity and is more prevalent among the elderly and critically ill. A number of medical conditions are commonly associated with hypernatremia, and these differ substantially among children and adults. Severe hypernatremia is usually associated with central nervous system manifestations and carries a high mortality rate. We report a case of a female patient who presented to the emergency department of the King Khalid University Hospital, Riyadh, Saudi Arabia with severe hypernatremia and without any associated co-morbid conditions or neurological manifestations. We did not find any etiological background despite extensive evaluation other than under hydration due to decreased fluid intake, which was secondary to behavioural causes.
authors.affiliation: Department of Accident and Emergency, King Khalid University Hospital, Dept. 65, King Saud University, P.O. Box, 7805, Riyadh 11472, Saudi Arabia. hoshos_630@yahoo.com
authors.forename: Hossam A
authors.initials: HA
authors.lastname: Hassan
authors.forename: Zohair A
authors.initials: ZA
authors.lastname: Al Aseri
authors.forename: Owais M
authors.initials: OM
authors.lastname: Suriya
mesh_terms: D003681:Dehydration / Q000150:complications* / Q000523:psychology / Q000628:therapy; D004327:Drinking Behavior; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D006955:Hypernatremia / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D012720:Severity of Illness Index; D016896:Treatment Outcome