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Vol.52 No.6 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/689

Title: うつ病性昏迷により高ナトリウム血症を呈した1例
Other Titles: A CASE OF HYPERNATREMIA CAUSED BY DEPRESSIVE STUPOR
Authors: 坂井, 康純
法山, 良信
森川, 将行
金, 英浩
芳野, 浩樹
大澤, 弘吉
岸本, 年史
飯田, 順三
Keywords: depressive stupor
hypernatremia
antidepressant
Issue Date: 31-Dec-2001
Publisher: 奈良医学会
奈良県立医科大学
Citation: Journal of Nara Medical Association Vol.52 No.6 p.261-265
Abstract: Hyponatremia is well known to be caused by water intoxication, but there are few reports on hypernatremia induced by mental disorder. We report a rare case of secondary hypernatremia caused by depressive stupor. The patient (a 57-year- old female) refused to eat, drink or speak due to depressive stupor. As a result, she suffered from hypohydremia with hypernatremia (serum sodium 157mEq/l, urea nitrogen 114mg/dl), and was admitted to our psychiatric ward. She was treated with infusion (hypoosmosis) and antidepressants (mainly clomipramine). Her depressive stupor and hypernatremia were gradually improved. Generally, hypernatremia results from water depletion, disturbance of consciousness, or adipsia due to organic brain syndrome. Furthermore, the possibility exists that mental disorder induces secondary hypernatre- mia. In the case of a patient with hypernatremia, secondary influences induced by mental disorder need to be considered.
URI: http://hdl.handle.net/10564/689
ISSN: 13450069
Appears in Collections:Vol.52 No.6

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