Behavioural induced severe hypernatremia without neurological manifestations

Abstract EN

Hypernatremia is a relatively common entity and is more prevalent among the elderly and critically ill.

A number of medical conditions are commonly associated with hypernatremia, and these differ substantially among children and adults.

Severe hypernatremia is usually associated with central nervous system manifestations and carries a high mortality rate.

We report a case of a female patient who presented to the emergency department of the King Khalid University Hospital, Riyadh, Saudi Arabia with severe hypernatremia and without any associated co-morbid conditions or neurological manifestations.

We did not find any etiological background despite extensive evaluation other than under hydration due to decreased fluid intake, which was secondary to behavioural causes.