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精神性烦渴患者低钠血症诱发的癫痫发作:一例报告

Hyponatremia-Induced Seizure in a Patient With Psychogenic Polydipsia: A Case Report.

作者信息

Bafarat Ammar Y, Labban Suhail A, Alhatmi Nada, Aly Hanan, Bashah Dalal M, Alshaiki Fatma

机构信息

General Practice, King Abdulaziz Hospital, Jeddah, SAU.

Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU.

出版信息

Cureus. 2023 Apr 17;15(4):e37710. doi: 10.7759/cureus.37710. eCollection 2023 Apr.

Abstract

Psychogenic polydipsia is a rare condition characterized by overconsumption of water. It can lead to water intoxication, which is potentially a life-threatening situation. Moreover, it usually occurs in patients with mental disorders, mainly schizophrenia. This report discusses a successful treatment of a 16-year-old male with psychogenic polydipsia and delusional disorder presenting to the emergency room with a hyponatremia-induced seizure. After stabilizing the patient, he was referred to a psychologist, and behavioral therapy was conducted. Post-discharge follow-ups revealed that behavioral therapy and the use of self-monitoring technique were effective in controlling the patient's condition. His water intake was reduced from 15 liters per day to three liters per day. This case highlights the importance of psychological assessment for patients with features suggestive of psychogenic polydipsia. It also highlights the need for immediate admission and prompt treatment for such patients as it is a high-risk condition.

摘要

精神性烦渴是一种罕见的病症,其特征是过量饮水。它可导致水中毒,这可能是一种危及生命的情况。此外,它通常发生在患有精神障碍的患者中,主要是精神分裂症患者。本报告讨论了一名16岁男性精神性烦渴和妄想障碍患者的成功治疗案例,该患者因低钠血症诱发癫痫发作而就诊于急诊室。在使患者病情稳定后,他被转介给一名心理学家,并接受了行为疗法。出院后的随访显示,行为疗法和自我监测技术的使用有效地控制了患者的病情。他的每日饮水量从15升减少到了3升。该病例突出了对具有精神性烦渴特征患者进行心理评估的重要性。它还强调了对此类患者立即入院并迅速治疗的必要性,因为这是一种高危病症。

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本文引用的文献

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Behavioral treatment of psychogenic polydipsia.
J Behav Ther Exp Psychiatry. 1988 Mar;19(1):57-61. doi: 10.1016/0005-7916(88)90011-0.

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