Çocuk Sağlığı ve Hastalıkları Dergisi
2009 , Vol 52 , Num 3
Central hypothyroidism presenting with severe hyponatremia and status epilepticus: a case report
Sağlık Bakanlığı Ankara Eğitim ve Araştırma Hastanesi Pediatri Doçenti1,Pediatri Asistanı2,Pediatri Uzmanı3,
Hyponatremia almost always reflects an excess of water relative to sodium,
commonly by dilution of total body sodium secondary to increase in total
body water and sometimes as a result of depletion of total body sodium in
excess of concurrent body water losses. With severe and rapidly evolving
hyponatremia, seizure, coma, permanent brain damage, respiratory arrest, brain
stem herniation, and death may occur. Symptomatic hyponatremia in children
is usually associated with severe systemic disorders. There is no report on
severe hyponatremia in children associated with hypothyroidism and no clear
explanation for the development of hyponatremia in hypothyroidism. Here,
we report a case of central hypothyroidism in a two-year-old child associated
with severe hyponatremia and status epilepticus after a traffic accident.
Anahtar Kelimeler :
hipotiroidi, hiponatremi, konvülsiyon dönemi, erken çocukluk gelişimi.