title: Drinking to near death--acute water intoxication leading to neurogenic stunned myocardium.
abstract: Neurogenic stunned myocardium is a rare disease entity that has been typically described as a consequence of subarachnoid hemorrhage and, less commonly, seizures. Here we describe a case of a healthy young woman who drank excessive free water causing acute hyponatremia complicated by cerebral edema and seizure, leading to cardiogenic shock from neurogenic stunned myocardium. Two days later, she had complete return of her normal cardiac function.
authors.affiliation: Emergency Department, Highland Hospital, Alameda Health System, 1411 31st St, Oakland, CA, 94602, USA. Electronic address: Lia.losonczy@gmail.com.
authors.forename: Lia I
authors.initials: LI
authors.lastname: Losonczy
authors.affiliation: Emergency Department, Highland Hospital, Alameda Health System, 1411 31st St, Oakland, CA, 94602, USA. Electronic address: Emily.lovallo@gmail.com.
authors.forename: Emily
authors.initials: E
authors.lastname: Lovallo
authors.affiliation: Emergency Department, Highland Hospital, Alameda Health System, 1411 31st St, Oakland, CA, 94602, USA. Electronic address: Schnorr.med@gmail.com.
authors.forename: C Daniel
authors.initials: CD
authors.lastname: Schnorr
authors.affiliation: Emergency Department, Highland Hospital, Alameda Health System, 1411 31st St, Oakland, CA, 94602, USA. Electronic address: Dmantuani@gmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mantuani
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017682:Myocardial Stunning / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D014869:Water Intoxication / Q000150:complications* / Q000628:therapy