Convulsion, Symptomatic Hyponatremia and Paralytic Ileus Following Tonsillectomy: A case report.
10.4097/kjae.2005.49.1.101
- Author:
Il Young CHEONG
1
;
Eui Cheol NAM
;
Jun Yeon WON
;
Sung Yeon AHN
;
Ja Kyoung KIM
;
Seong Sik KANG
;
Hee Jeong SON
;
Byeong Moon HWANG
Author Information
1. Departments of Anesthesiology and Pain Medicine, Kangwon National University Medical School, Chuncheon, Korea. miline66@paran.com
- Publication Type:Case Report
- Keywords:
antidiuretic hormone;
convulsion;
hyponatremia;
paralytic ileus;
tonsillectomy
- MeSH:
Anxiety;
Brain Edema;
Central Nervous System;
Child, Preschool;
Humans;
Hyponatremia*;
Intestinal Pseudo-Obstruction*;
Mortality;
Nausea;
Seizures*;
Sodium;
Tonsillectomy*;
Vomiting
- From:Korean Journal of Anesthesiology
2005;49(1):101-105
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Severe symptomatic hyponatremia shows high mortality in association with cerebral edema and central nervous system dysfunction. Postoperative hyponatremia is usually attributed to administration of hypotonic fluids while antidiuretic hormone is acting. However, we experienced a severe symptomatic hyponatremia in spite of infusion of lactated Ringer's solution perioperatively in a case of 4-year-old girl's tonsillectomy. Inappropriate secretion of ADH caused by pain, stress, anxiety, nausea, vomiting. Paralytic ileus developed several hours after surgery, severe hyponatremia (Na 119 mmol/L) with convulsion notified. After prompt infusion of sodium supplement and fluid restriction, the patient recovered uneventfully.
