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361 Possible Causes for Delusion, Hyponatremia

  • Adrenal Insufficiency

    A 60-year-old woman with a past medical history of Cushing's syndrome developed hyponatremia with symptoms of acute glucocorticoid deficiency, such as prolonged general fatigue[] In the fourth day of treatment with intravenous Hydrocortisone (up to 400mg/24 hours) there occurred acute psychosis with hallucinations, delusions and life-threatening behaviours[] Following the diagnostic algorithm of hyponatremia we reached the diagnosis of AI.[]

  • Acute Intermittent Porphyria

    Neurovisceral symptoms resolved, and severe hyponatremia was corrected with IV saline solution without complications.[] Psychiatric signs and symptoms of AIP may manifest as anxiety , paranoia , irritability, delusions , hallucinations , confusion , and depression . [4] Signs that suggest increased[] Her hyponatremia was corrected. Arrangements were made to import hematin and she was managed with dextrose infusion.[]

  • Porphyria

    Other psychiatric symptoms such as anxiety, restlessness, insomnia, depression, mania, hallucinations, delusions, confusion, catatonia, and psychosis may occur. [31] Seizures[] Severe hyponatremia, urine that develops orange colour on exposure to light and gastrointestinal symptom combination with neurologic symptoms are three valuable clues that[] Computed tomography was unremarkable, and blood tests demonstrated hyponatremia, acute kidney injury, and a neutrophilic leukocytosis.[]

  • Anti-NMDA Receptor Encephalitis

    Here, we present a case of a 15 year-old female adolescent with first-episode psychosis with anti-NMDA receptor encephalitis not related to tumor, which manifested with delusion[] Hypothermia, hypoventilation, hypertension, paralytic ileus and hyponatremia were present.[] A 26-year-old woman presented at 22 weeks of gestation with intermittent headache and an acute episode of bizarre behaviour and grandiose delusions resulting in hospitalisation[]

  • Myxedema

    […] the disposition becomes erratic ; the patient is at times petulant , and irritable or excitable ; at other times, dull, listless, apathetic, despondent , and subject to delusions[] High mortality (30-60%) How do patients present (clinical diagnosis) AMS Hypothermia Hypotension Respiratory Failure Hypoglycemia Hyponatremia Potential physical exam findings[] Psychiatric disorders include slowed mentation, memory loss, personality changes, hallucinations, delusions, and psychosis.[]

  • Ornithine Transcarbamylase Deficiency

    They include: Avoiding foods high in protein or a dislike of meat Loss of appetite Nausea or vomiting Behavior problems, including hyperactivity Mental problems (confusion, delusions[] Classically described as a consequence of hyponatremia treatment, osmotic demyelination syndrome has rarely been associated with other entities.[]

  • Water Intoxication

    […] life threatening problem in the professional literature. 3 The initial symptoms associated with this condition are very similar to psychosis, with inappropriate behaviour, delusions[] Water intoxication is an unusual but potentially lethal cause of perioperative hyponatremia.[] Although it has a favorable side effect profile, because of its pharmacological effect, intranasal desmopressin can rarely induce water intoxication with profound hyponatremia[]

  • Carbamazepine

    Patients who may be most likely to respond to carbamazepine therapy include those with: type II bipolar disorder substance abuse comorbidity mood-incongruent delusions no[] We defined hyponatremia as Na 134 mEq/L and severe hyponatremia as Na 128 mEq/L.[] The use of carbamazepine (CBZ) and oxcarbazepine (OXC) as first-line antiepileptic drugs in the treatment of focal epilepsy is limited by hyponatremia, a known adverse effect[]

  • Dementia with Lewy Bodies

    Apart from eight other cases to date, this is the only one with recurrent hyponatremia.[] Delusion of other persons are stealing was the most common symptom (35.3%).[] We reported on a female patient affected by DLB who presented with an unusual delusion of duplication.[]

  • Lithium Toxicity

    Lithium toxicity should be considered when new delusions occur during lithium therapy.[] The disorder was related to the rapid correction of pregnancy-related hyponatremia, as a consequence of lithium-induced diabetes insipidus.[] So if the patient has hyponatremia more lithium with be reabsorbed. I read that too but I still didn't get it.[]

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