clinical features
Last reviewed 01/2018
- Early features of EAH include: nausea, vomiting, headache, bloating, tissue
puffiness
- Later features of EAH include: confusion, disorientation, seizures, coma, pulmonary oedema
As the severity of EAH progresses, more clinical features of hyponatremic encephalopathy can develop as a result of cerebral oedema (brain swelling), including alteration of mental status (eg, confusion, disorientation, agitation, delirium), seizures, respiratory distress (pulmonary edema), obtundation, coma and death
Usually individuals are asymptomatic symptoms until Na+ < 130 mmol
As many as 10% of ultra distance runners might be hyponatraemic (1)
Contributors (September 2010):
- Dr Volker Scheer (GP Locum), Dr Andrew Murray (Marathon Medical Services)
Reference: