Rigault G, Franko B, Chabre O, Quemerai M-A, Nemoz B, Zaoui P
Service de néphrologie, hospital A.-Michallon, boulevard de la Chantourne, 38700 La Tronche, France.
Service de néphrologie, hospital A.-Michallon, boulevard de la Chantourne, 38700 La Tronche, France; Service de néphrologie, centre hospitalier Annecy-Genevois, 1, avenue de l'Hôpital, 74370 Metz-Tessy, France.
Ann Cardiol Angeiol (Paris). 2017 Sep;66(4):243-245. doi: 10.1016/j.ancard.2017.03.001. Epub 2017 May 12.
Hyponatremic-hypertensive syndrome (HHS) is characterized by hypertension and hyponatremia.
We report a case of HHS in a 73-year-old woman, revealed by a hyponatremia leading to status epilepticus, without initial hypertension due to hypovolemia. She was successfully treated by endovascular therapy without any long-term supplementation or anti-hypertensive medication.
Physiopathology hypothesis of HHS implicate pressure natriuresis, in this case, hypertension is not initially found and we discuss other hyponatremia mechanisms.
低钠血症-高血压综合征（HHS）的特征为高血压和低钠血症。
我们报告一例73岁女性的HHS病例，该病例由导致癫痫持续状态的低钠血症所揭示，最初因血容量不足而无高血压。她通过血管内治疗成功治愈，无需任何长期补充治疗或抗高血压药物。
HHS的病理生理学假说涉及压力性利钠作用，在本病例中，最初未发现高血压，我们讨论了其他低钠血症机制。
